Indiana
Professional Licensing Agency
Kimberly Renee Smith
Controlled Substance Registration-Physician Assistant
License number
10000921B
Date granted
12/05/2008
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
8820 South Meridian Street, Suite 120, Indianapolis IN 46217
indianalicensing.org
ID 8387294
LAST UPDATED 2024-03-27 12:41:24 UTC
LAST UPDATED 2024-03-27 12:41:24 UTC
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