Indiana
Professional Licensing Agency
Marvin Lee Smitherman
Controlled Substance Registration - Physician
License number
01025568B
Date granted
08/31/1984
Date expires
06/30/1989
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2323 FERRY ST #201, LAFAYETTE IN 47904
indianalicensing.org
ID 5880256
LAST UPDATED 2024-03-02 14:07:44 UTC
LAST UPDATED 2024-03-02 14:07:44 UTC
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