MICHELLE LEE KIRK - Medical Doctor License in New York | # 33*****04

MICHELLE LEE KIRK

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

N

First Name

MICHELLE

Middle

LEE

Last Name

KIRK

Business Name

MICHELLE LEE KIRK

Original Issue Date

10/02/2025

Effective Date

10/02/2025

Expiration Date

07/31/2026

State

NY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/02/2025