License holder summary

Kenneth A Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Kenneth A Smith is 1234 East Dupont Road, Fort Wayne IN 46825. This licensed professional license is current. The license was granted 06/30/1986 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Kenneth A Smith
Controlled Substance Registration - Physician
License number
01022346B
Date granted
06/30/1986
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1234 East Dupont Road, Fort Wayne IN 46825
indianalicensing.org
ID 5853833
LAST UPDATED 2024-03-21 12:14:55 UTC

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