Mimi Merrillyn Chung
Controlled Substance Registration - Physician
Indiana 01044788D Active
This Indiana license is held by Mimi Merrillyn Chung. The license is currently active. It was granted on 04/07/2014 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01044788D
- Category: CSR-Physician
- Status: Active
- Date Granted: 04/07/2014 (about 11 years ago)
- Expiry Date: 10/31/2015 (over 9 years ago)
LOCATIONS
A Address
Trinity Free Clinic, 1045 W. 146th St., Carmel IN 46032
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