Indiana
Professional Licensing Agency
Joni Lynne Kluth
Controlled Substance Registration - Dentist
License number
12009300B
Date granted
11/13/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2204 South Park Avenue, Alexandria IN 46001-8059
indianalicensing.org
ID 5080390
LAST UPDATED 2024-02-21 11:01:59 UTC
LAST UPDATED 2024-02-21 11:01:59 UTC
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