License holder summary

Micah Warren Smith is a Medical Residency Permit licensed to practice in Indiana. The address on file for Micah Warren Smith is Fort Wayne IN 46825. This licensed professional license is not current. The license was granted 05/18/2007 and expired on 06/30/2009.

Indiana

Professional Licensing Agency

Micah Warren Smith
Medical Residency Permit
License number
11013697A
Date granted
05/18/2007
Date expires
06/30/2009
Class
Medical Residency Permit
Status
Superceded
Address
Fort Wayne IN 46825
indianalicensing.org
ID 5979432
LAST UPDATED 2024-04-26 11:33:30 UTC

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