Indiana
Professional Licensing Agency
Dean R. Smith
Controlled Substance Registration - Physician
License number
01032019B
Date granted
05/21/1992
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1800 N. Oak Road, Plymouth IN 46563
indianalicensing.org
ID 5910399
LAST UPDATED 2024-05-01 03:05:27 UTC
LAST UPDATED 2024-05-01 03:05:27 UTC
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