License holder summary

Michael Ellsworth Smothers is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Michael Ellsworth Smothers is 3003 East Lake Drive, South, Elkhart IN 46514. This licensed professional license is current. The license was granted 01/31/1994 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Michael Ellsworth Smothers
Controlled Substance Registration - Physician
License number
01042198B
Date granted
01/31/1994
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
3003 East Lake Drive, South, Elkhart IN 46514
indianalicensing.org
ID 5847958
LAST UPDATED 2024-04-03 18:01:37 UTC

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