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
LAST UPDATED 2024-04-12 01:19:05 UTC
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