License holder summary

Keith Alexander Smith is a Medical Residency Permit licensed to practice in Indiana. The address on file for Keith Alexander Smith is Muncie IN 47303-3499. This licensed professional license is not current. The license was granted 06/10/2010 and expired on 06/30/2011.

Indiana

Professional Licensing Agency

Keith Alexander Smith
Medical Residency Permit
License number
11015667A
Date granted
06/10/2010
Date expires
06/30/2011
Class
Medical Residency Permit
Status
Expired
Address
Muncie IN 47303-3499
indianalicensing.org
ID 5990812
LAST UPDATED 2024-03-11 04:01:08 UTC

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