TIMOTHY ANDREW KIRK DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005202

License Status

NOT RENEWED

Business

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

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006