Jerry Douglas Smith
Controlled Substance Registration - Physician
Indiana 01036090B Active
This Indiana license is held by Jerry Douglas Smith. The license is currently active. It was granted on 10/16/1987 and expired on 10/31/2015
LICENSE DETAILS
- License Number: 01036090B
- Category: CSR-Physician
- Status: Active
- Date Granted: 10/16/1987 (over 36 years ago)
- Expiry Date: 10/31/2015 (over 8 years ago)
LOCATIONS
A Address
7504 North 425 East, Alexandria IN 46001
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