DANIEL CHARLES KLOC DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012253

License Status

NOT RENEWED

Business

First Name

DANIEL CHARLES

Last Name

KLOC

Suffix

DDS

Business Name

DANIEL CHARLES KLOC DDS

Original Issue Date

07/25/1963

Effective Date

07/25/1963

Expiration Date

09/30/1988

City

SOUTH BEND

State

Zip

46635

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005