Indiana
Professional Licensing Agency
KENNETH WARD KLOOZE
Controlled Substance Registration - Physician
License number
01017976B
Date granted
05/31/1984
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
95 LANE 242 LAKE JAMES, ANGOLA IN 46703
indianalicensing.org
ID 5818651
LAST UPDATED 2024-02-24 16:03:06 UTC
LAST UPDATED 2024-02-24 16:03:06 UTC
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