Indiana
Professional Licensing Agency
Moon Eung Kim
Controlled Substance Registration - Physician
License number
01034075B
Date granted
01/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
800 MACARTHUR BLVD #16, MUNSTER IN 46321
indianalicensing.org
ID 11957965
LAST UPDATED 2024-03-15 14:34:47 UTC
LAST UPDATED 2024-03-15 14:34:47 UTC
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