License holder summary

John Krieger Clark is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for John Krieger Clark is 6605 EAST STATE #5, FORT WAYNE IN 46815. This licensed professional license is not current. The license was granted 11/30/1985 and expired on 03/01/2002.

Indiana

Professional Licensing Agency

John Krieger Clark
Controlled Substance Registration - Dentist
License number
12005636B
Date granted
11/30/1985
Date expires
03/01/2002
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
6605 EAST STATE #5, FORT WAYNE IN 46815
indianalicensing.org
ID 5095132
LAST UPDATED 2024-03-27 01:38:36 UTC

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