Jack W Heethouse Jr
ActiveMichigan license 5101012999
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101012999
- Status
- Active
- First issued
- June 22, 1998
- Expires
- June 22, 2029
- License holder
- Jack W Heethouse Jr
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons