KIYOUNG KIM
Controlled Substance Registration-Osteopathic Physician
Indiana 02001748B Expired
This Indiana license was held by KIYOUNG KIM. The license is no longer active. It was granted on 07/01/1996 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 02001748B
- Category: CSR-Osteopathic Physician
- Status: Expired
- Date Granted: 07/01/1996 (almost 30 years ago)
- Expiry Date: 06/30/2003 (almost 23 years ago)
LOCATIONS
A Address
MEDICAL STAFF OFFICE, 5454 HOHMAN AVENUE, Hammond IN 46320