ROGER C SMITH

Controlled Substance Registration - Physician

Indiana  01014532B   Expired

This Indiana license was held by ROGER C SMITH. The license is no longer active. It was granted on 07/11/1944 and expired on 01/31/1984

LICENSE DETAILS

  • License Number: 01014532B
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 07/11/1944 (almost 81 years ago)
  • Expiry Date: 01/31/1984 (over 41 years ago)

LOCATIONS

A Address

3124 EAST STATE BLVD, FORT WAYNE IN 46805