Indiana
Professional Licensing Agency
Daniel Wayne Kletzing
Controlled Substance Registration - Physician
License number
01023918B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
6301 University Commons, Suite 360, South Bend IN 46635-1475
indianalicensing.org
ID 5920665
LAST UPDATED 2024-02-26 18:42:48 UTC
LAST UPDATED 2024-02-26 18:42:48 UTC
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