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
LAST UPDATED 2024-01-05 01:58:41 UTC
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