License holder summary

Dirk Matthew Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Dirk Matthew Smith is FAMILY PRACTICE CENTER, 221 NORTH CELIA AVENUE, Muncie IN 47303. This licensed professional license is not current. The license was granted 09/29/2000 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Dirk Matthew Smith
Controlled Substance Registration - Physician
License number
01053126B
Date granted
09/29/2000
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
FAMILY PRACTICE CENTER, 221 NORTH CELIA AVENUE, Muncie IN 47303
indianalicensing.org
ID 5898037
LAST UPDATED 2024-03-21 21:06:37 UTC

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