Indiana
Professional Licensing Agency
Suzanne Marie Smith
Controlled Substance Registration-Physician Assistant
License number
10000320B
Date granted
02/24/2012
Date expires
06/30/2016
Class
Controlled Substance Registration-Physician Assistant
Status
Active
Address
Professional Emergency Physicians, Inc., 2412 E State Blvd., Ste 200, Fort Wayne IN 46805
indianalicensing.org
ID 8386668
LAST UPDATED 2024-05-11 13:34:47 UTC
LAST UPDATED 2024-05-11 13:34:47 UTC
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