License holder summary

SAMUEL WILLIAM KIRTLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for SAMUEL WILLIAM KIRTLEY is 1500 DARLINGTON AVE, CRAWFORDSVILLE IN 47933. This licensed professional license is not current. The license was granted 12/31/1986 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

SAMUEL WILLIAM KIRTLEY
Controlled Substance Registration - Physician
License number
01027094B
Date granted
12/31/1986
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1500 DARLINGTON AVE, CRAWFORDSVILLE IN 47933
indianalicensing.org
ID 5840572
LAST UPDATED 2024-04-22 20:10:30 UTC

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