Indiana
Professional Licensing Agency
Frederic Warren Smith
Controlled Substance Registration - Dentist
License number
12011415B
Date granted
02/13/2012
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
1116 Veterans Parkway, Clarksville IN 47129
indianalicensing.org
ID 5086857
LAST UPDATED 2024-02-23 19:36:33 UTC
LAST UPDATED 2024-02-23 19:36:33 UTC
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