Indiana
Professional Licensing Agency
Matthew Lyle Smith
Controlled Substance Registration - Physician
License number
01044721B
Date granted
10/22/1996
Date expires
06/30/2007
Class
Controlled Substance Registration - Physician
Status
Expired
Address
1711 South SR 135, Suite C, Greenwood IN 46143
indianalicensing.org
ID 5862154
LAST UPDATED 2024-03-16 18:46:41 UTC
LAST UPDATED 2024-03-16 18:46:41 UTC
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