License holder summary

Clarence Edwin Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Clarence Edwin Smith is Scott Memorial, 1451 North Gardner, Scottsburg IN 47170. This licensed professional license is current. The license was granted 03/25/2010 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Clarence Edwin Smith
Controlled Substance Registration - Physician
License number
01067962B
Date granted
03/25/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Scott Memorial, 1451 North Gardner, Scottsburg IN 47170
indianalicensing.org
ID 5917549
LAST UPDATED 2024-02-22 05:36:10 UTC

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