Indiana
Professional Licensing Agency
John Conrad Klooster
Controlled Substance Registration - Dentist
License number
12009027B
Date granted
08/29/1988
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
14081 Mundy Drive, Fishers IN 46038
indianalicensing.org
ID 5093413
LAST UPDATED 2024-03-04 13:53:35 UTC
LAST UPDATED 2024-03-04 13:53:35 UTC
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