RODNEY FARRELL KIRK - Dentist License in Georgia | # 31*****19

RODNEY FARRELL KIRK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

N

First Name

RODNEY FARRELL

Last Name

KIRK

Business Name

RODNEY FARRELL KIRK

Original Issue Date

01/17/1985

Effective Date

01/17/1985

Expiration Date

09/30/1992

State

GA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/13/2005