Indiana
Professional Licensing Agency
Sun Hae Park Kim
Controlled Substance Registration - Physician
License number
01035890B
Date granted
07/30/1987
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
RICHMOND STATE HOSPITAL, 498 Northwest 18th Street, RICHMOND IN 47374
indianalicensing.org
ID 5914379
LAST UPDATED 2024-04-19 03:50:57 UTC
LAST UPDATED 2024-04-19 03:50:57 UTC
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