Indiana
Professional Licensing Agency
Tyrone Smith
Controlled Substance Registration - Dentist
License number
12011536B
Date granted
09/13/2010
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Stetzel Dental Group, 10010 Dupont Circle Court, Fort Wayne IN 46825
indianalicensing.org
ID 5096387
LAST UPDATED 2024-03-27 07:30:23 UTC
LAST UPDATED 2024-03-27 07:30:23 UTC
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