Indiana
Professional Licensing Agency
Marlon Shepard Kirby
Controlled Substance Registration - Physician
License number
01044651B
Date granted
01/25/1996
Date expires
06/30/1997
Class
Controlled Substance Registration - Physician
Status
Expired
Address
GRAND PARK SURGERY CENTER, 1479 E 84TH STREET, MERRILLVILLE IN 46410
indianalicensing.org
ID 5891010
LAST UPDATED 2026-04-09 22:24:11 UTC
LAST UPDATED 2026-04-09 22:24:11 UTC
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