Indiana
Professional Licensing Agency
Chanbo Sim
Controlled Substance Registration - Dentist
License number
12009372B
Date granted
09/12/1991
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
6075 Cleveland Circle, Merrillville IN 46410
indianalicensing.org
ID 5110786
LAST UPDATED 2024-02-20 01:58:18 UTC
LAST UPDATED 2024-02-20 01:58:18 UTC
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