Kent A. Kirk
Controlled Substance Registration - Physician
Indiana 01049520B Expired
This Indiana license was held by Kent A. Kirk. The license is no longer active. It was granted on 09/24/1998 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01049520B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 09/24/1998 (over 25 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
BRODERSEN WILLIAMS EYE INSTITUTE P C, 6850 HOHMAN AVE, HAMMOND IN 46324