Indiana
Professional Licensing Agency
Odell G. Smith
Controlled Substance Registration - Physician
License number
01054018B
Date granted
06/13/2001
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
St. Joseph Physicians Southway, 188 East Southway Boulevard, Kokomo IN 46902
indianalicensing.org
ID 5876837
LAST UPDATED 2024-02-11 07:23:09 UTC
LAST UPDATED 2024-02-11 07:23:09 UTC
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