KIRBY S TIRK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

KIRBY S

Last Name

TIRK

Suffix

Business Name

KIRBY S TIRK MD

Original Issue Date

12/01/1983

Effective Date

12/01/1983

Expiration Date

07/31/1990

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006