Indiana
Professional Licensing Agency
Amanda Jane Klukowski
Controlled Substance Registration-Osteopathic Physician
License number
02003483B
Date granted
04/28/2009
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Community Health Network, 1500 N. Ritter Avenue, Indianapolis IN 46219
indianalicensing.org
ID 5803773
LAST UPDATED 2024-02-17 16:47:35 UTC
LAST UPDATED 2024-02-17 16:47:35 UTC
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