License holder summary

GEORGE KIRICENKOV is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for GEORGE KIRICENKOV is 1900 W MAIN STREET, MOUNT VERNON IN 47620. This licensed professional license is not current. The license was granted 09/27/1977 and expired on 11/30/1984.

Indiana

Professional Licensing Agency

GEORGE KIRICENKOV
Controlled Substance Registration - Physician
License number
01027967B
Date granted
09/27/1977
Date expires
11/30/1984
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1900 W MAIN STREET, MOUNT VERNON IN 47620
indianalicensing.org
ID 5897468
LAST UPDATED 2024-03-10 05:05:19 UTC

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