Indiana
Professional Licensing Agency
Reeo Kim
Controlled Substance Registration - Physician
License number
01071499B
Date granted
07/27/2012
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
St. Mary Medical Center, 1500 S. Lake Park Avenue, Hobart IN 46342
indianalicensing.org
ID 5867646
LAST UPDATED 2024-01-18 03:03:09 UTC
LAST UPDATED 2024-01-18 03:03:09 UTC
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