Eric Wayne Smith
Controlled Substance Registration - Dentist
Indiana 12010565C Expired
This Indiana license was held by Eric Wayne Smith. The license is no longer active. It was granted on 04/05/2010 and expired on 03/01/2014
LICENSE DETAILS
- License Number: 12010565C
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 04/05/2010 (about 15 years ago)
- Expiry Date: 03/01/2014 (about 11 years ago)
LOCATIONS
A Address
Dental Plus, 2001 East Broadway, Logansport IN 46947