License holder summary

Jung Il Park is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jung Il Park is 9305 Calumet Avenue, Suite A 2, Munster IN 46321. This licensed professional license is current. The license was granted 03/31/1986 and expired on 10/31/2015.

Indiana

Board of Licensing

Jung Il Park
Controlled Substance Registration - Physician
License number
01032400B
Date granted
03/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
9305 Calumet Avenue, Suite A 2, Munster IN 46321
indianalicensing.org
ID 22437760
LAST UPDATED 2020-12-17 20:44:45 UTC

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