License holder summary

Chung Kiel Kim is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Chung Kiel Kim is 494 Wexford Road, Valparaiso IN 46385. This licensed professional license is not current. The license was granted 07/31/1986 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Chung Kiel Kim
Controlled Substance Registration - Physician
License number
01030918B
Date granted
07/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Retired
Address
494 Wexford Road, Valparaiso IN 46385
indianalicensing.org
ID 5928269
LAST UPDATED 2024-04-08 01:59:35 UTC

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