License holder summary

KAMI LEE PARK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KAMI LEE PARK is MCCULLOUGH HYDE REGIONAL MEDICAL CENTER, 10058 COOLEY ROAD, Brookville IN 47012. This licensed professional license is current. The license was granted 09/19/2000 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

KAMI LEE PARK
Controlled Substance Registration - Physician
License number
01053041B
Date granted
09/19/2000
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
MCCULLOUGH HYDE REGIONAL MEDICAL CENTER, 10058 COOLEY ROAD, Brookville IN 47012
indianalicensing.org
ID 5828265
LAST UPDATED 2024-01-05 01:58:41 UTC

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