License holder summary

Terry R. Klise is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Terry R. Klise is Ladd Dental Group, 2333 West Lincoln Road, Kokomo IN 46902-8012. This licensed professional license is not current. The license was granted 07/20/1999 and expired on 03/01/2008.

Indiana

Professional Licensing Agency

Terry R. Klise
Controlled Substance Registration - Dentist
License number
12009360B
Date granted
07/20/1999
Date expires
03/01/2008
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Ladd Dental Group, 2333 West Lincoln Road, Kokomo IN 46902-8012
indianalicensing.org
ID 5106868
LAST UPDATED 2024-04-03 16:06:31 UTC

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