Indiana
Professional Licensing Agency
Joanne Bacon Smith
Controlled Substance Registration - Physician
License number
01050969B
Date granted
02/08/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
310 Medical Drive, Carmel IN 46032
indianalicensing.org
ID 5830873
LAST UPDATED 2024-04-07 10:41:06 UTC
LAST UPDATED 2024-04-07 10:41:06 UTC
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