Suzanne Marie Smith

Controlled Substance Registration-Physician Assistant

Indiana  10000320B   Active

This Indiana license is held by Suzanne Marie Smith. The license is currently active. It was granted on 02/24/2012 and expired on 06/30/2016

LICENSE DETAILS

  • License Number: 10000320B
  • Category: CSR-Physician Assistant
  • Status: Active
  • Date Granted: 02/24/2012 (over 12 years ago)
  • Expiry Date: 06/30/2016 (about 8 years ago)

LOCATIONS

A Address

Professional Emergency Physicians, Inc., 2412 E State Blvd., Ste 200, Fort Wayne IN 46805