License holder summary

Mark Wallace Smith is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Mark Wallace Smith is 7650 East State Road 252, Edinburgh IN 46124. This licensed professional license is current. The license was granted 11/30/1985 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Mark Wallace Smith
Controlled Substance Registration - Dentist
License number
12007415B
Date granted
11/30/1985
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
7650 East State Road 252, Edinburgh IN 46124
indianalicensing.org
ID 5090495
LAST UPDATED 2024-03-20 16:27:49 UTC

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