Indiana
Professional Licensing Agency
Scott Harold Kirk
Controlled Substance Registration - Physician
License number
01049319B
Date granted
08/27/1998
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
BRODERSON WILLIAMS EYE CENTER, 6850 HOHMAN AVE, HAMMOND IN 46324
indianalicensing.org
ID 5865324
LAST UPDATED 2024-02-05 04:35:00 UTC
LAST UPDATED 2024-02-05 04:35:00 UTC
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