Indiana
Professional Licensing Agency
John S. Kim
Controlled Substance Registration - Physician
License number
01061571B
Date granted
12/15/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Michiana Eye Center, 230 E Day Road , Ste 100, Mishawaka IN 46545-3408
indianalicensing.org
ID 5895233
LAST UPDATED 2024-01-28 06:17:43 UTC
LAST UPDATED 2024-01-28 06:17:43 UTC
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