Indiana
Professional Licensing Agency
Jethroe Joseph Smith
Controlled Substance Registration - Dentist
License number
12010325B
Date granted
09/25/2001
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
425 Joliet Street, US Route, Suite 311, Dyer IN 46311
indianalicensing.org
ID 5089985
LAST UPDATED 2024-03-08 15:35:49 UTC
LAST UPDATED 2024-03-08 15:35:49 UTC
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