Indiana
Professional Licensing Agency
Sandy M. Kwak
Physician
License number
01060718A
Date granted
05/17/2005
Date expires
06/30/2009
Class
Physician
Status
Expired Non-Renewable
Address
Chesterton IN 46304
indianalicensing.org
ID 6038532
LAST UPDATED 2026-03-10 09:15:38 UTC
LAST UPDATED 2026-03-10 09:15:38 UTC
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