Indiana
Professional Licensing Agency
JACK EDWARD SMITH
Physician Assistant
License number
10000048A
Date granted
10/21/1980
Date expires
06/30/2000
Class
Physician Assistant
Status
Expired
Address
INDIANAPOLIS IN 46268
indianalicensing.org
ID 8390442
LAST UPDATED 2026-04-10 01:00:49 UTC
LAST UPDATED 2026-04-10 01:00:49 UTC
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