Indiana
Professional Licensing Agency
KENNETH LYLE SMITH
Controlled Substance Registration - Dentist
License number
12004852B
Date granted
01/31/1986
Date expires
03/01/1996
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
423 MARKET STREET, MONON IN 47959
indianalicensing.org
ID 5112933
LAST UPDATED 2024-04-29 09:19:38 UTC
LAST UPDATED 2024-04-29 09:19:38 UTC
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