License holder summary

GLEN EDWARD HEISE is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for GLEN EDWARD HEISE is 204 MUMPER LANE DILLSBURG PA 17019. This licensed professional license is not current. The license was granted 09/03/1999.

Pennsylvania

Department of State

GLEN EDWARD HEISE
Medicine - Written Agreement
License number
MX029515E
Date granted
09/03/1999
Class
Medicine - Written Agreement
Status
Inactive
Address
204 MUMPER LANE DILLSBURG PA 17019
palicensing.org
ID 16662921
LAST UPDATED 2024-03-14 05:28:10 UTC

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