Indiana
Professional Licensing Agency
PAUL PHILLIP VAN KIRK
Controlled Substance Registration - Physician
License number
01015618B
Date granted
01/31/1986
Date expires
06/30/1999
Class
Controlled Substance Registration - Physician
Status
Expired
Address
PO BOX 633, 623 S MAIN ST, MONTICELLO IN 47960
indianalicensing.org
ID 5896653
LAST UPDATED 2024-02-23 14:51:41 UTC
LAST UPDATED 2024-02-23 14:51:41 UTC
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