CHONG MIN PARK
Controlled Substance Registration - Physician
Indiana 01035950B Expired
This Indiana license was held by CHONG MIN PARK. The license is no longer active. It was granted on 07/06/1987 and expired on 06/30/1989
LICENSE DETAILS
- License Number: 01035950B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/06/1987 (about 39 years ago)
- Expiry Date: 06/30/1989 (about 37 years ago)
LOCATIONS
A Address
CHUNG KIEL KIM, 494 WEXFORD ROAD, VALPARAISO IN 46383