Indiana
Professional Licensing Agency
Anthony Alexander Smith
Controlled Substance Registration - Physician
License number
01025168B
Date granted
06/30/1986
Date expires
10/31/2013
Class
Controlled Substance Registration - Physician
Status
Expired
Address
208 CORWIN LANE, KOKOMO IN 46902
indianalicensing.org
ID 5875587
LAST UPDATED 2024-03-12 17:06:19 UTC
LAST UPDATED 2024-03-12 17:06:19 UTC
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