JOHN EDWIN KLOOSTER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010795

License Status

NOT RENEWED

Business

First Name

JOHN EDWIN

Last Name

KLOOSTER

Suffix

DDS

Business Name

JOHN EDWIN KLOOSTER DDS

Original Issue Date

09/08/1955

Effective Date

09/08/1955

Expiration Date

09/30/1984

City

LA PORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005