License holder summary

Michael Tudor Smith is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Michael Tudor Smith is PO Box 264, 114 Fourth Street, Tipton IN 46072-1851. This licensed professional license is current. The license was granted 07/31/1986 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Michael Tudor Smith
Controlled Substance Registration - Dentist
License number
12008617B
Date granted
07/31/1986
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
PO Box 264, 114 Fourth Street, Tipton IN 46072-1851
indianalicensing.org
ID 5125518
LAST UPDATED 2024-04-12 19:30:15 UTC

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