License holder summary

Michael Allen Smith is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Allen Smith is New Beginnings, 1345 Unity Place Suite 145 P.O. Box 4699, Lafayette IN 47903-4699. This licensed professional license is not current. The license was granted 06/15/1995 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Michael Allen Smith
Controlled Substance Registration - Physician
License number
01043048B
Date granted
06/15/1995
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
New Beginnings, 1345 Unity Place Suite 145 P.O. Box 4699, Lafayette IN 47903-4699
indianalicensing.org
ID 5880280
LAST UPDATED 2024-03-11 01:44:02 UTC

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