Indiana
Professional Licensing Agency
Jennifer Leigh Kloboves
Controlled Substance Registration - Dentist
License number
12010843B
Date granted
06/21/2006
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Landmark Family Dental Care, 457 South Landmark Avenue, Bloomington IN 47403
indianalicensing.org
ID 5083151
LAST UPDATED 2024-04-15 13:52:57 UTC
LAST UPDATED 2024-04-15 13:52:57 UTC
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