Indiana
Professional Licensing Agency
Tracey Lynn Smith
Controlled Substance Registration - Dentist
License number
12010378B
Date granted
07/16/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Osceola Dental Care, 103 Osceola Avenue, Osceola IN 46561
indianalicensing.org
ID 5117595
LAST UPDATED 2024-03-30 20:34:25 UTC
LAST UPDATED 2024-03-30 20:34:25 UTC
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