JORDANA MARGARET SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

JORDANA

Middle

MARGARET

Last Name

SMITH

Business Name

JORDANA MARGARET SMITH

Original Issue Date

03/14/2011

Effective Date

03/14/2011

Expiration Date

07/31/2011

City

TUCSON

State

Zip

85711

County

ARIZONA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/10/2011