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
LAST UPDATED 2024-02-08 11:02:18 UTC
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