Indiana
Professional Licensing Agency
Mike Kent Kluth
Controlled Substance Registration - Dentist
License number
12009126B
Date granted
08/18/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2204 S. PARK AVE., ALEXANDRIA IN 46001
indianalicensing.org
ID 5080385
LAST UPDATED 2024-03-07 13:28:21 UTC
LAST UPDATED 2024-03-07 13:28:21 UTC
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