License holder summary

Jethroe Joseph Smith is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jethroe Joseph Smith is 425 Joliet Street, US Route, Suite 311, Dyer IN 46311. This licensed professional license is current. The license was granted 09/25/2001 and expired on 03/01/2016.

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

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