License holder summary

JONG KU KIM is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JONG KU KIM is WESTVILLE CORRECTIONAL CENTER, 100 W STATE ROAD 2 P O BOX 473, WESTVILLE IN 46391. This licensed professional license is not current. The license was granted 07/29/1995 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

JONG KU KIM
Controlled Substance Registration - Physician
License number
01044080B
Date granted
07/29/1995
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
WESTVILLE CORRECTIONAL CENTER, 100 W STATE ROAD 2 P O BOX 473, WESTVILLE IN 46391
indianalicensing.org
ID 5935014
LAST UPDATED 2024-01-29 19:48:55 UTC

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