Chung Kiel Kim
Controlled Substance Registration - Physician
Indiana 01030918B Retired
This Indiana license was held by Chung Kiel Kim. The license is no longer active. It was granted on 07/31/1986 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01030918B
- Category: CSR-Physician
- Status: Retired
- Date Granted: 07/31/1986 (almost 39 years ago)
- Expiry Date: 06/30/2011 (almost 14 years ago)
LOCATIONS
A Address
494 Wexford Road, Valparaiso IN 46385