License holder summary

Jeffrey David Klak is a Medical Residency Permit licensed to practice in Indiana. The address on file for Jeffrey David Klak is Speedway IN 46224. This licensed professional license is current. The license was granted 06/11/2013 and expired on 06/30/2015.

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

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