Kim Bolan Simic
Controlled Substance Registration - Physician
Indiana 01040307B Active
This Indiana license is held by Kim Bolan Simic. The license is currently active. It was granted on 07/14/1992 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01040307B
- Category: CSR-Physician
- Status: Active
- Date Granted: 07/14/1992 (almost 34 years ago)
- Expiry Date: 10/31/2015 (over 10 years ago)
LOCATIONS
A Address
297 W. Franciscan Ln., Suite 108, Crown Point IN 46307
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