Indiana
Professional Licensing Agency
Allen Dene Smith
Controlled Substance Registration - Dentist
License number
12011680B
Date granted
06/20/2011
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
1105 Clifty Drive, Madison IN 47250
indianalicensing.org
ID 5109576
LAST UPDATED 2024-03-19 22:38:55 UTC
LAST UPDATED 2024-03-19 22:38:55 UTC
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