The holder whose full name is HEIFERMAN, KENNETH SAMUEL,come from MUNSTER IN,hold the Physician license(NO.01047848A) which status is Expired Non-Renewable.
| Name | HEIFERMAN, KENNETH SAMUEL |
|---|---|
| License Number | 01047848A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | MUNSTER |
| State | IN |