Indiana
Professional Licensing Agency
Elizabeth Dockerty Smith
Controlled Substance Registration - Dentist
License number
12010466B
Date granted
07/09/2002
Date expires
03/01/2004
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
LADD DENTAL GROUP, INC, 2333 W LINCOLN ROAD, Kokomo IN 46902
indianalicensing.org
ID 5106342
LAST UPDATED 2024-02-20 01:42:08 UTC
LAST UPDATED 2024-02-20 01:42:08 UTC
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