Indiana
Professional Licensing Agency
Angela Brooke Smith
Controlled Substance Registration - Dentist
License number
12010272B
Date granted
09/21/2000
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
101 Charles Street, Loogootee IN 47553-2221
indianalicensing.org
ID 5109316
LAST UPDATED 2024-01-22 11:15:01 UTC
LAST UPDATED 2024-01-22 11:15:01 UTC
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