License holder summary

Kenneth John Guzman Lim is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kenneth John Guzman Lim is St. Anthony Valparaiso Health Center, 2421 LaPorte Avenue, Valparaiso IN 46383. This licensed professional license is current. The license was granted 05/29/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kenneth John Guzman Lim
Controlled Substance Registration - Physician
License number
01071118B
Date granted
05/29/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Anthony Valparaiso Health Center, 2421 LaPorte Avenue, Valparaiso IN 46383
indianalicensing.org
ID 5928993
LAST UPDATED 2024-03-31 11:10:36 UTC

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