KENNETH WARD KLOOZE
Controlled Substance Registration - Physician
Indiana 01017976B Expired
This Indiana license was held by KENNETH WARD KLOOZE. The license is no longer active. It was granted on 05/31/1984 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01017976B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 05/31/1984 (about 42 years ago)
- Expiry Date: 06/30/2007 (almost 19 years ago)
LOCATIONS
A Address
95 LANE 242 LAKE JAMES, ANGOLA IN 46703