License holder summary

Derrick A. Smith is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Derrick A. Smith is Gary IN 46404. This licensed professional license is not current. The license was granted 09/21/2011 and expired on 03/21/2012.

Indiana

Professional Licensing Agency

Derrick A. Smith
Radiology Provisional Permit
License number
XP503630
Date granted
09/21/2011
Date expires
03/21/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Gary IN 46404
indianalicensing.org
ID 8491211
LAST UPDATED 2024-03-26 15:13:08 UTC

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