Michael Allen Smith
Controlled Substance Registration - Physician
Indiana 01043048B Expired
This Indiana license was held by Michael Allen Smith. The license is no longer active. It was granted on 06/15/1995 and expired on 06/30/2003
LICENSE DETAILS
- License Number: 01043048B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 06/15/1995 (almost 29 years ago)
- Expiry Date: 06/30/2003 (almost 21 years ago)
LOCATIONS
A Address
New Beginnings, 1345 Unity Place Suite 145 P.O. Box 4699, Lafayette IN 47903-4699