S Theresa Kim

Controlled Substance Registration - Physician

Indiana  01034805B   Expired

This Indiana license was held by S Theresa Kim. The license is no longer active. It was granted on 03/07/1986 and expired on 06/30/1997

LICENSE DETAILS

  • License Number: 01034805B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 03/07/1986 (about 39 years ago)
  • Expiry Date: 06/30/1997 (almost 28 years ago)

LOCATIONS

A Address

INDIANA REHABILITATION INST, 8695 BROADWAY, MERRILLVILLE IN 46410