Indiana
Professional Licensing Agency
BUM JOO KIM
Controlled Substance Registration - Physician
License number
01025547B
Date granted
05/31/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
100 Navarre Place, Suite 4470, South Bend IN 46601
indianalicensing.org
ID 5920545
LAST UPDATED 2024-04-13 05:42:34 UTC
LAST UPDATED 2024-04-13 05:42:34 UTC
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