Indiana
Professional Licensing Agency
TAE HONG PARK
Controlled Substance Registration - Physician
License number
01030973B
Date granted
12/31/1985
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Revoked
Address
P O BOX 1927, 8731 INDIANAPOLIS BOULEVARD, HIGHLAND IN 46322
indianalicensing.org
ID 5866803
LAST UPDATED 2024-03-31 20:44:34 UTC
LAST UPDATED 2024-03-31 20:44:34 UTC
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