License holder summary

Raymond Gordon Klockow is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Raymond Gordon Klockow is 331 EAST AMSLER ROAD, RENSSELAER IN 47978. This licensed professional license is current. The license was granted 10/31/1984 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Raymond Gordon Klockow
Controlled Substance Registration - Dentist
License number
12007158B
Date granted
10/31/1984
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
331 EAST AMSLER ROAD, RENSSELAER IN 47978
indianalicensing.org
ID 5119564
LAST UPDATED 2024-04-05 05:59:34 UTC

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