Indiana
Professional Licensing Agency
Gregg W. Smith
Controlled Substance Registration - Dentist
License number
12007736B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
118 S COURT STREET, SULLIVAN IN 47882
indianalicensing.org
ID 5124127
LAST UPDATED 2024-03-03 16:27:32 UTC
LAST UPDATED 2024-03-03 16:27:32 UTC
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