Indiana
Professional Licensing Agency
William Richard Kirtley
Controlled Substance Registration - Dentist
License number
12008976B
Date granted
11/10/1987
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
325 NORTH WALNUT STREET, SEYMOUR IN 47274
indianalicensing.org
ID 5122080
LAST UPDATED 2024-03-02 04:34:16 UTC
LAST UPDATED 2024-03-02 04:34:16 UTC
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