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| Physician Records |
| Physician Last Name: | Heineman | |||
| Physician First Name: | Thomas | |||
| Physician Middle Name: | H | |||
| Address: | 169 Main Street Hamburg, New York 14075 | |||
| License Number: | 045740 | |||
| License Type: | MD | |||
| Year of Birth: | ||||
| Effective Date: | 11/20/1995 | |||
| Action Description for DOH Webpage: | License surrender | |||
| Misconduct Description for DOH Webpage: | The physician did not contest potential charges concerning his prescribing of medication to patients. | |||
| License Limitations or Conditions for DOH Webpage: | ||||
| Board Order: |
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