GEORGE KIRICENKOV
Controlled Substance Registration - Physician
Indiana 01027967B Expired
This Indiana license was held by GEORGE KIRICENKOV. The license is no longer active. It was granted on 09/27/1977 and expired on 11/30/1984
LICENSE DETAILS
- License Number: 01027967B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/27/1977 (almost 49 years ago)
- Expiry Date: 11/30/1984 (almost 42 years ago)
LOCATIONS
A Address
1900 W MAIN STREET, MOUNT VERNON IN 47620