Indiana
Professional Licensing Agency
TOM SEVERIN KIRKWOOD
Controlled Substance Registration - Physician
License number
01036106B
Date granted
07/01/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
BICKNELL MEDICAL CENTER, 510 WEST 11TH STREET, BICKNELL IN 47512
indianalicensing.org
ID 5823473
LAST UPDATED 2024-03-19 04:07:32 UTC
LAST UPDATED 2024-03-19 04:07:32 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.