Indiana
Professional Licensing Agency
Jeffrey David Klak
Medical Residency Permit
License number
11017330A
Date granted
06/11/2013
Date expires
06/30/2015
Class
Medical Residency Permit
Status
Active
Address
Speedway IN 46224
indianalicensing.org
ID 27759295
LAST UPDATED 2026-04-06 01:16:00 UTC
LAST UPDATED 2026-04-06 01:16:00 UTC
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