Indiana
Professional Licensing Agency
George Roeland Kiracofe
Controlled Substance Registration - Physician
License number
01024830B
Date granted
03/31/1986
Date expires
06/30/1995
Class
Controlled Substance Registration - Physician
Status
Expired
Address
489 LAGRANGE STREET, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934030
LAST UPDATED 2026-05-02 22:49:15 UTC
LAST UPDATED 2026-05-02 22:49:15 UTC
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