KERMIT CHARLES SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

First Name

KERMIT CHARLES

Last Name

SMITH

Suffix

Business Name

KERMIT CHARLES SMITH DO

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SCOTTSDALE

State

Zip

85253

County

ARIZONA

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006