License holder summary

S Theresa Kim is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for S Theresa Kim is INDIANA REHABILITATION INST, 8695 BROADWAY, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 03/07/1986 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

S Theresa Kim
Controlled Substance Registration - Physician
License number
01034805B
Date granted
03/07/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
INDIANA REHABILITATION INST, 8695 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891570
LAST UPDATED 2024-04-06 20:38:08 UTC

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