License holder summary

Jeremy Alan Kirk is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jeremy Alan Kirk is Hendricks Regional Health - Medical Affairs, 1000 East Main Street, Danville IN 46122. This licensed professional license is current. The license was granted 07/22/2005 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jeremy Alan Kirk
Controlled Substance Registration - Physician
License number
01061046B
Date granted
07/22/2005
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Hendricks Regional Health - Medical Affairs, 1000 East Main Street, Danville IN 46122
indianalicensing.org
ID 5842627
LAST UPDATED 2024-04-25 20:55:20 UTC

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