License holder summary

Brian Lee Kirkwood is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Brian Lee Kirkwood is BRANDYWINE DENTAL GROUP, 101 NORTH STATE STREET, GREENFIELD IN 46140. This licensed professional license is current. The license was granted 04/27/1990 and expired on 03/01/2016.

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

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