Yong Am Park
Controlled Substance Registration - Physician
Indiana 01044315B Expired
This Indiana license was held by Yong Am Park. The license is no longer active. It was granted on 09/12/1995 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01044315B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/12/1995 (almost 31 years ago)
- Expiry Date: 06/30/2003 (about 23 years ago)
LOCATIONS
A Address
1479 East 84th Place, Merrillville IN 46410