Kent A. Kirby
Controlled Substance Registration - Physician
Indiana 01055523B Expired
This Indiana license was held by Kent A. Kirby. The license is no longer active. It was granted on 09/16/2008 and expired on 06/30/2011
LICENSE DETAILS
- License Number: 01055523B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/16/2008 (over 17 years ago)
- Expiry Date: 06/30/2011 (almost 15 years ago)
LOCATIONS
A Address
Edison Lakes Urology, 410 Park Place, Suite B, Mishawaka IN 46545