Indiana
Professional Licensing Agency
Gerritt F. Smith
Controlled Substance Registration - Physician
License number
01033525B
Date granted
07/31/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Lafayette Surgical Clinic, 1345 Unity Place, Suite 235, Lafayette IN 47905
indianalicensing.org
ID 5879448
LAST UPDATED 2024-04-08 20:53:07 UTC
LAST UPDATED 2024-04-08 20:53:07 UTC
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