Indiana
Professional Licensing Agency
Chad Edward Smith
Controlled Substance Registration - Physician
License number
01073380B
Date granted
03/26/2014
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
411 West Tipton Street, Seymour IN 47274
indianalicensing.org
ID 27719598
LAST UPDATED 2024-03-25 22:29:30 UTC
LAST UPDATED 2024-03-25 22:29:30 UTC
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