Indiana
Professional Licensing Agency
James Marion Kirtley
Controlled Substance Registration - Physician
License number
01012805B
Date granted
05/31/1986
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
615 THORNWOOD ROAD, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5840217
LAST UPDATED 2024-03-01 15:29:28 UTC
LAST UPDATED 2024-03-01 15:29:28 UTC
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