License holder summary

Mary Ann Kim is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mary Ann Kim is Merrillville Family Dental, 8099 Madison Street, Merrillville IN 46410. This licensed professional license is not current. The license was granted 06/14/2010 and expired on 03/01/2014.

Indiana

Professional Licensing Agency

Mary Ann Kim
Controlled Substance Registration - Dentist
License number
12010053C
Date granted
06/14/2010
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
Merrillville Family Dental, 8099 Madison Street, Merrillville IN 46410
indianalicensing.org
ID 5111146
LAST UPDATED 2024-04-12 03:09:04 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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