Indiana
Professional Licensing Agency
Janice Marie Smith
Controlled Substance Registration - Physician
License number
01056080B
Date granted
04/24/2002
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Alternatives Medical Center, 215 East Mishawaka Avenue, Mishawaka IN 46545
indianalicensing.org
ID 5895133
LAST UPDATED 2024-04-22 05:57:24 UTC
LAST UPDATED 2024-04-22 05:57:24 UTC
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