Andrew Gerritt Smith
ActiveMichigan license EMC0001208
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0001208
- Status
- Active
- First issued
- August 3, 2021
- Expires
- August 3, 2027
- License holder
- Andrew Gerritt Smith
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
6622 Sweetbrier Drive
Fort Wayne, IN 46814
Fort Wayne, IN 46814