DONNA M SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

DONNA M

Last Name

SMITH

Business Name

DONNA M SMITH

Original Issue Date

08/22/1995

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

GLENDALE

State

Zip

85308

County

ARIZONA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014