Heidi M Bagwell

Controlled Substance Registration - Physician

Indiana  01060982B   Active

This Indiana license is held by Heidi M Bagwell. The license is currently active. It was granted on 03/26/2007 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01060982B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 03/26/2007 (over 19 years ago)
  • Expiry Date: 10/31/2015 (almost 11 years ago)

LOCATIONS

A Address

Honey Grove Family Medicine, 1711 South State Road 135, Suite C, Greenwood IN 46143