License holder summary

Carolyn M. Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Carolyn M. Smith is 3620 Lauren Lane, Bloomington IN 47404. This licensed professional license is current. The license was granted 04/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Carolyn M. Smith
Controlled Substance Registration - Physician
License number
01027170B
Date granted
04/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3620 Lauren Lane, Bloomington IN 47404
indianalicensing.org
ID 5823898
LAST UPDATED 2024-04-25 21:43:11 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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