THOMAS AUGUSTIN KIRK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

NOT RENEWED

Business

First Name

THOMAS AUGUSTIN

Last Name

KIRK

Suffix

Business Name

THOMAS AUGUSTIN KIRK MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006