Indiana
Professional Licensing Agency
Rebecca Jean Kloker
Controlled Substance Registration - Physician
License number
01058972B
Date granted
04/20/2004
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Logansport State Hopital, 1098 South State Road, Logansport IN 46947
indianalicensing.org
ID 5885603
LAST UPDATED 2024-05-09 04:17:22 UTC
LAST UPDATED 2024-05-09 04:17:22 UTC
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