Indiana
Professional Licensing Agency
Denise Marie Smith
Controlled Substance Registration-Osteopathic Physician
License number
02001605B
Date granted
10/27/1994
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
RediMed Southwest, 7333 West Jefferson Blvd, Fort Wayne IN 46804
indianalicensing.org
ID 5800386
LAST UPDATED 2024-03-27 14:44:29 UTC
LAST UPDATED 2024-03-27 14:44:29 UTC
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