License holder summary

MARK ALAN KLAASSEN is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARK ALAN KLAASSEN is OSMC, 2310 CALIFORNIA STREET, ELKHART IN 46514. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

MARK ALAN KLAASSEN
Controlled Substance Registration - Physician
License number
01031923B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
OSMC, 2310 CALIFORNIA STREET, ELKHART IN 46514
indianalicensing.org
ID 5847879
LAST UPDATED 2024-03-11 01:26:56 UTC

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