Indiana
Professional Licensing Agency
Kristin Nicole Smith
Controlled Substance Registration - Physician
License number
01066233B
Date granted
02/09/2009
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
Wabash Valley Hospital, Inc., 2900 N River Road, West Lafayette IN 47906
indianalicensing.org
ID 5934225
LAST UPDATED 2024-04-30 05:10:27 UTC
LAST UPDATED 2024-04-30 05:10:27 UTC
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