License holder summary

Tyler Q. Kirk is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Tyler Q. Kirk is William Eye Institute, 6850 Homan Avenue, Hammond IN 46324. This licensed professional license is current. The license was granted 06/11/2012 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Tyler Q. Kirk
Controlled Substance Registration - Physician
License number
01071194B
Date granted
06/11/2012
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
William Eye Institute, 6850 Homan Avenue, Hammond IN 46324
indianalicensing.org
ID 5865583
LAST UPDATED 2024-06-05 10:23:13 UTC

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