License holder summary

Mike Kent Kluth is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mike Kent Kluth is 2204 S. PARK AVE., ALEXANDRIA IN 46001. This licensed professional license is current. The license was granted 08/18/1989 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mike Kent Kluth
Controlled Substance Registration - Dentist
License number
12009126B
Date granted
08/18/1989
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2204 S. PARK AVE., ALEXANDRIA IN 46001
indianalicensing.org
ID 5080385
LAST UPDATED 2024-01-21 04:47:07 UTC

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