Indiana
Professional Licensing Agency
Marc Stanley Smith
Controlled Substance Registration - Dentist
License number
12006650B
Date granted
01/31/1986
Date expires
03/01/2014
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
409 SOUTH DUNN, BLOOMINGTON IN 47401
indianalicensing.org
ID 5083313
LAST UPDATED 2024-02-14 06:01:04 UTC
LAST UPDATED 2024-02-14 06:01:04 UTC
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