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 2024-02-10 21:49:07 UTC
LAST UPDATED 2024-02-10 21:49:07 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.