Indiana
Professional Licensing Agency
John Andrew Smith
Controlled Substance Registration - Physician
License number
01020190B
Date granted
01/31/1986
Date expires
06/30/2011
Class
Controlled Substance Registration - Physician
Status
Expired
Address
198 GARDEN STREET, LAPORTE IN 46350
indianalicensing.org
ID 5878076
LAST UPDATED 2024-03-13 22:24:55 UTC
LAST UPDATED 2024-03-13 22:24:55 UTC
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