License holder summary

JOHN R VAN KIRK is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for JOHN R VAN KIRK is 166 SAGAMORE PARKWAY WEST, WEST LAFAYETTE IN 47906. This licensed professional license is not current. The license was granted 03/27/1945 and expired on 06/30/1997.

Indiana

Professional Licensing Agency

JOHN R VAN KIRK
Controlled Substance Registration - Physician
License number
01014658B
Date granted
03/27/1945
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
166 SAGAMORE PARKWAY WEST, WEST LAFAYETTE IN 47906
indianalicensing.org
ID 5934123
LAST UPDATED 2024-03-30 21:06:51 UTC

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