Indiana
Professional Licensing Agency
Brian Lee Kirkwood
Controlled Substance Registration - Dentist
License number
12009025C
Date granted
04/27/1990
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
BRANDYWINE DENTAL GROUP, 101 NORTH STATE STREET, GREENFIELD IN 46140
indianalicensing.org
ID 5098670
LAST UPDATED 2024-01-17 11:53:45 UTC
LAST UPDATED 2024-01-17 11:53:45 UTC
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