Indiana
Professional Licensing Agency
Stephen Estall Kirkman
Controlled Substance Registration - Physician
License number
01041587B
Date granted
07/01/1993
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2012 South Park Avenue, Alexandria IN 46001
indianalicensing.org
ID 5816412
LAST UPDATED 2024-03-15 01:09:50 UTC
LAST UPDATED 2024-03-15 01:09:50 UTC
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