Indiana
Professional Licensing Agency
Lalaine Y. Smith
Controlled Substance Registration - Dentist
License number
12009923B
Date granted
01/22/1997
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
9595 Whitley Drive, Suite 100, Indianapolis IN 46240-1308
indianalicensing.org
ID 5103289
LAST UPDATED 2024-02-03 19:15:22 UTC
LAST UPDATED 2024-02-03 19:15:22 UTC
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