The holder whose full name is HEINE, TIMOTHY ALLEN,come from ELWOOD IN,hold the Physician license(NO.01037746A) which status is Expired Non-Renewable.
| Name | HEINE, TIMOTHY ALLEN |
|---|---|
| License Number | 01037746A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | ELWOOD |
| State | IN |