License holder summary

Amanda Jane Klukowski is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Amanda Jane Klukowski is Community Health Network, 1500 N. Ritter Avenue, Indianapolis IN 46219. This licensed professional license is current. The license was granted 04/28/2009 and expired on 10/31/2015.

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

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