Tyler Q. Kirk

Controlled Substance Registration - Physician

Indiana  01071194B   Active

This Indiana license is held by Tyler Q. Kirk. The license is currently active. It was granted on 06/11/2012 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01071194B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/11/2012 (almost 13 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

William Eye Institute, 6850 Homan Avenue, Hammond IN 46324