Indiana
Professional Licensing Agency
CHONG MIN PARK
Controlled Substance Registration - Physician
License number
01035950B
Date granted
07/06/1987
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
CHUNG KIEL KIM, 494 WEXFORD ROAD, VALPARAISO IN 46383
indianalicensing.org
ID 5928278
LAST UPDATED 2024-04-21 20:36:34 UTC
LAST UPDATED 2024-04-21 20:36:34 UTC
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