Heather Michelle Clark

Controlled Substance Registration - Physician

Indiana  01069280B   Active

This Indiana license is held by Heather Michelle Clark. The license is currently active. It was granted on 03/29/2011 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01069280B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 03/29/2011 (about 14 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

Parkview Novle Hospital/ Parkview Health, 401 N. Sawyer Rd., Kendallville IN 46755