RODNEY FARRELL KIRK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

NOT RENEWED

Business

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

City

JESUP

State

Zip

31545

County

GEORGIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005