Indiana
Professional Licensing Agency
J. Peter Klim
Controlled Substance Registration-Osteopathic Physician
License number
02002790B
Date granted
07/22/2004
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
3611 S Reed Rd, Medical Arts Bldg, Suite 214, Kokomo IN 46902
indianalicensing.org
ID 5806549
LAST UPDATED 2024-04-14 14:26:05 UTC
LAST UPDATED 2024-04-14 14:26:05 UTC
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