Indiana
Professional Licensing Agency
Kim Bolan Simic
Controlled Substance Registration - Physician
License number
01040307B
Date granted
07/14/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
297 W. Franciscan Ln., Suite 108, Crown Point IN 46307
indianalicensing.org
ID 5841379
LAST UPDATED 2024-03-19 14:45:21 UTC
LAST UPDATED 2024-03-19 14:45:21 UTC
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