License holder summary

Jerrold Wayne Smith is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jerrold Wayne Smith is Wadas Dental Center, 155 W. 86th Avenue, Ste A, Merrillville IN 46410. This licensed professional license is current. The license was granted 10/18/2004 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jerrold Wayne Smith
Controlled Substance Registration - Dentist
License number
12010685B
Date granted
10/18/2004
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Wadas Dental Center, 155 W. 86th Avenue, Ste A, Merrillville IN 46410
indianalicensing.org
ID 5111015
LAST UPDATED 2024-04-01 11:54:17 UTC

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