License holder summary

Douglas Kyung Nam is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Douglas Kyung Nam is Heart Partners of Indiana, 1210 B Medical Arts Blvd. Ste# 114, Anderson IN 46011. This licensed professional license is current. The license was granted 06/09/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Douglas Kyung Nam
Controlled Substance Registration - Physician
License number
01069647B
Date granted
06/09/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Heart Partners of Indiana, 1210 B Medical Arts Blvd. Ste# 114, Anderson IN 46011
indianalicensing.org
ID 5817034
LAST UPDATED 2024-02-23 04:08:00 UTC

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