Mike Kent Kluth

Controlled Substance Registration - Dentist

Indiana  12009126B   Active

This Indiana license is held by Mike Kent Kluth. The license is currently active. It was granted on 08/18/1989 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12009126B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 08/18/1989 (over 34 years ago)
  • Expiry Date: 03/01/2016 (about 8 years ago)

LOCATIONS

A Address

2204 S. PARK AVE., ALEXANDRIA IN 46001