Indiana
Professional Licensing Agency
Tanisha Smith
Controlled Substance Registration - Podiatrist
License number
07001108B
Date granted
09/15/2010
Date expires
06/30/2015
Class
Controlled Substance Registration - Podiatrist
Status
Active
Address
14445 Community Drive #3C, Carmel IN 46033
indianalicensing.org
ID 8429912
LAST UPDATED 2024-03-20 07:36:57 UTC
LAST UPDATED 2024-03-20 07:36:57 UTC
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