License holder summary

Jerry Douglas Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jerry Douglas Smith is 7504 North 425 East, Alexandria IN 46001. This licensed professional license is current. The license was granted 10/16/1987 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jerry Douglas Smith
Controlled Substance Registration - Physician
License number
01036090B
Date granted
10/16/1987
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
7504 North 425 East, Alexandria IN 46001
indianalicensing.org
ID 5816392
LAST UPDATED 2024-02-04 19:25:44 UTC

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