License holder summary

KENNETH LYLE SMITH is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for KENNETH LYLE SMITH is 423 MARKET STREET, MONON IN 47959. This licensed professional license is not current. The license was granted 01/31/1986 and expired on 03/01/1996.

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

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