Indiana
Professional Licensing Agency
DAVID LEE KLOCKE
Controlled Substance Registration - Physician
License number
01035044B
Date granted
06/04/1986
Date expires
06/30/1987
Class
Controlled Substance Registration - Physician
Status
Expired
Address
U S FED PENITENTIARY, TERRE HAUTE IN 47808
indianalicensing.org
ID 5924939
LAST UPDATED 2024-04-03 07:15:49 UTC
LAST UPDATED 2024-04-03 07:15:49 UTC
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