TIMOTHY ANDREW KIRK DPM - Podiatrist License in Indiana | # 016005202

TIMOTHY ANDREW KIRK DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005202

License Status

NOT RENEWED

Business

N

First Name

TIMOTHY

Middle

ANDREW

Last Name

KIRK

Suffix

DPM

Business Name

TIMOTHY ANDREW KIRK DPM

Original Issue Date

07/13/2004

Effective Date

07/13/2004

Expiration Date

01/31/2005

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006