Timothy Scott Smith

Controlled Substance Registration - Physician

Indiana  01041614C   Expired

This Indiana license was held by Timothy Scott Smith. The license is no longer active. It was granted on 06/03/2003 and expired on 06/30/2005

LICENSE DETAILS

  • License Number: 01041614C
  • Category: CSR-Physician
  • Status: Expired
  • Date Granted: 06/03/2003 (about 23 years ago)
  • Expiry Date: 06/30/2005 (almost 21 years ago)

LOCATIONS

A Address

St. Joseph Reg Med Ctr - Plymouth (MRI Ctr), 1915 Lake Ave, Plymouth IN 46563