BRIAN D SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

SMITH

Suffix

Business Name

BRIAN D SMITH MD

Original Issue Date

03/19/1985

Effective Date

03/19/1985

Expiration Date

07/31/1987

City

DAVENPORT

State

Zip

52806

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006