Indiana
Professional Licensing Agency
Richard Russell Smith
Controlled Substance Registration - Physician
License number
01036575B
Date granted
05/19/1988
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
1389 Stony Creek Circle, Carmel IN 46032
indianalicensing.org
ID 5831759
LAST UPDATED 2024-03-16 01:42:16 UTC
LAST UPDATED 2024-03-16 01:42:16 UTC
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