Indiana
Professional Licensing Agency
Jon E. Smucker
Controlled Substance Registration - Physician
License number
01026832B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Goshen Surgical Assoc., Inc, 101 Marilyn Avenue, Suite 4, Goshen IN 46526
indianalicensing.org
ID 5858752
LAST UPDATED 2024-04-13 00:40:49 UTC
LAST UPDATED 2024-04-13 00:40:49 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.