Indiana
Professional Licensing Agency
Mi Kyung Kim
Controlled Substance Registration - Physician
License number
01068404B
Date granted
06/18/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lakeshore Anesthesia, P.C., 1755 Fulton Street, Suite A, Elkhart IN 46514
indianalicensing.org
ID 5847965
LAST UPDATED 2024-03-12 21:57:24 UTC
LAST UPDATED 2024-03-12 21:57:24 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.