License holder summary

Wyatt Lamont Smith is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Wyatt Lamont Smith is 5010 Broadway, Gary IN 46408. This licensed professional license is current. The license was granted 06/30/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Wyatt Lamont Smith
Controlled Substance Registration - Dentist
License number
12008147B
Date granted
06/30/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
5010 Broadway, Gary IN 46408
indianalicensing.org
ID 5097676
LAST UPDATED 2024-04-12 01:19:05 UTC

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