Indiana
Professional Licensing Agency
Jong H. Kim
Controlled Substance Registration - Physician
License number
01036861B
Date granted
07/19/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Mary Care Network, 200 East 80th Place, Suite 100E, Merrillville IN 46410-5671
indianalicensing.org
ID 5890689
LAST UPDATED 2024-01-17 07:49:13 UTC
LAST UPDATED 2024-01-17 07:49:13 UTC
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