License holder summary

KI YOUNG PARK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for KI YOUNG PARK is 8695 BROADWAY, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 09/25/1987 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

KI YOUNG PARK
Controlled Substance Registration - Physician
License number
01036343B
Date granted
09/25/1987
Date expires
06/30/1991
Class
Controlled Substance Registration - Physician
Status
Expired
Address
8695 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5890804
LAST UPDATED 2024-03-22 23:48:21 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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