License holder summary

Matthew Lyle Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Matthew Lyle Smith is 1711 South SR 135, Suite C, Greenwood IN 46143. This licensed professional license is not current. The license was granted 10/22/1996 and expired on 06/30/2007.

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

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