Indiana
Professional Licensing Agency
Haewon Park
Controlled Substance Registration - Physician
License number
01053754B
Date granted
05/18/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
IU Health Southern Indiana Physicians, 601 West 2nd Street, Bloomington IN 47403
indianalicensing.org
ID 5824455
LAST UPDATED 2024-04-15 19:08:34 UTC
LAST UPDATED 2024-04-15 19:08:34 UTC
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