License holder summary

KIYOUNG KIM is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for KIYOUNG KIM is MEDICAL STAFF OFFICE, 5454 HOHMAN AVENUE, Hammond IN 46320. This licensed professional license is not current. The license was granted 07/01/1996 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

KIYOUNG KIM
Controlled Substance Registration-Osteopathic Physician
License number
02001748B
Date granted
07/01/1996
Date expires
06/30/2003
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
MEDICAL STAFF OFFICE, 5454 HOHMAN AVENUE, Hammond IN 46320
indianalicensing.org
ID 5802641
LAST UPDATED 2024-02-08 11:02:18 UTC

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