License holder summary

Jill Suzanne Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Jill Suzanne Smith is 528 N 1st Street, Vincennes IN 47591. This licensed professional license is current. The license was granted 04/07/2009 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Jill Suzanne Smith
Controlled Substance Registration - Physician
License number
01066193B
Date granted
04/07/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
528 N 1st Street, Vincennes IN 47591
indianalicensing.org
ID 5930928
LAST UPDATED 2024-02-12 01:43:42 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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