Indiana
Professional Licensing Agency
Tiffany Elaine Smith
Controlled Substance Registration-Physician Assistant
License number
10001221B
Date granted
09/24/2010
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
First Stop Urgent Care, 311 East Clifty Road, Madison IN 47250
indianalicensing.org
ID 8387815
LAST UPDATED 2024-04-29 15:20:04 UTC
LAST UPDATED 2024-04-29 15:20:04 UTC
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