Indiana
Professional Licensing Agency
Justin Gilbert Smith
Controlled Substance Registration - Physician
License number
01070326B
Date granted
10/17/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
714 N Michigan Street, Granger IN 46530
indianalicensing.org
ID 5859531
LAST UPDATED 2024-04-17 23:56:02 UTC
LAST UPDATED 2024-04-17 23:56:02 UTC
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