KENNETH LYLE SMITH
Controlled Substance Registration - Dentist
Indiana 12004852B Expired
This Indiana license was held by KENNETH LYLE SMITH. The license is no longer active. It was granted on 01/31/1986 and expired on 03/01/1996
LICENSE DETAILS
- License Number: 12004852B
- Category: CSR-Dentist
- Status: Expired
- Date Granted: 01/31/1986 (about 39 years ago)
- Expiry Date: 03/01/1996 (about 29 years ago)
LOCATIONS
A Address
423 MARKET STREET, MONON IN 47959