Indiana
Professional Licensing Agency
Robert Wayne Kirtley
Controlled Substance Registration - Physician
License number
01017447B
Date granted
05/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
741 Coventry Drive, Seymour IN 47274
indianalicensing.org
ID 5918930
LAST UPDATED 2024-03-24 11:51:10 UTC
LAST UPDATED 2024-03-24 11:51:10 UTC
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