Indiana
Professional Licensing Agency
OTTO DYCK KLASSEN
Controlled Substance Registration - Physician
License number
01019655B
Date granted
05/31/1986
Date expires
06/30/2001
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1405 1 PEMBROKE CIRCLE, GOSHEN IN 46526
indianalicensing.org
ID 5859003
LAST UPDATED 2024-03-24 00:56:14 UTC
LAST UPDATED 2024-03-24 00:56:14 UTC
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