License Information

The holder whose full name is Heidenreich, Laura L.,come from Fort Wayne IN,hold the Radiology Provisional Permit - Cardiac Catheterization license(NO.XP503360) which status is Superceded.

NameHeidenreich, Laura L.
License NumberXP503360
License TypeRadiology Provisional Permit - Cardiac Catheterization
License StatusSuperceded
CityFort Wayne
StateIN

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