KIMBERLY WATSON HEISS - Physician Assistant License in Indiana | # 085001189

KIMBERLY WATSON HEISS

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001189

License Status

NOT RENEWED

Business

N

First Name

KIMBERLY

Middle

WATSON

Last Name

HEISS

Business Name

KIMBERLY WATSON HEISS

Original Issue Date

01/12/1999

Effective Date

01/12/1999

Expiration Date

03/01/2000

State

IN

Ever Disciplined

N

LastModifiedDate

09/26/2006