License holder summary

Si Eon Kim is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Si Eon Kim is 425 US HWY 30, DYER IN 46311. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

Si Eon Kim
Controlled Substance Registration - Physician
License number
01030565B
Date granted
12/31/1985
Date expires
06/30/2005
Class
Controlled Substance Registration - Physician
Status
Expired
Address
425 US HWY 30, DYER IN 46311
indianalicensing.org
ID 5844672
LAST UPDATED 2024-04-20 22:48:48 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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