Indiana
Professional Licensing Agency
S. Christopher Shim
Controlled Substance Registration - Physician
License number
01035698B
Date granted
01/10/1991
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
11012 West Sycamore Hills Drive, Fort Wayne IN 46814
indianalicensing.org
ID 5854451
LAST UPDATED 2024-02-01 06:58:01 UTC
LAST UPDATED 2024-02-01 06:58:01 UTC
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