Indiana
Professional Licensing Agency
Jon Benjamin Smucker
Controlled Substance Registration - Physician
License number
01067873B
Date granted
03/18/2010
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
2310 California Road, Elkhart IN 46514
indianalicensing.org
ID 5847593
LAST UPDATED 2024-04-04 16:20:04 UTC
LAST UPDATED 2024-04-04 16:20:04 UTC
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