MICHAEL N KIRK Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

ACTIVE

Business

First Name

MICHAEL N

Last Name

KIRK

Business Name

MICHAEL N KIRK

Original Issue Date

09/04/2007

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

62236

County

MONROE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023