License holder summary

Justin Ryan Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Justin Ryan Smith is St. Vincent Physicians Network, 11530 Allisonville Road, Fishers IN 46038. This licensed professional license is current. The license was granted 08/26/2011 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Justin Ryan Smith
Controlled Substance Registration - Physician
License number
01070154B
Date granted
08/26/2011
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Vincent Physicians Network, 11530 Allisonville Road, Fishers IN 46038
indianalicensing.org
ID 5851974
LAST UPDATED 2024-03-15 04:38:51 UTC

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