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
LAST UPDATED 2024-06-05 10:23:13 UTC
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