Matthew Lyle Smith
Controlled Substance Registration - Physician
Indiana 01044721B Expired
This Indiana license was held by Matthew Lyle Smith. The license is no longer active. It was granted on 10/22/1996 and expired on 06/30/2007
LICENSE DETAILS
- License Number: 01044721B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 10/22/1996 (over 28 years ago)
- Expiry Date: 06/30/2007 (almost 18 years ago)
LOCATIONS
A Address
1711 South SR 135, Suite C, Greenwood IN 46143