STEPHEN CHARLES SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

CANCELLED

Business

First Name

STEPHEN CHARLES

Last Name

SMITH

Suffix

Business Name

STEPHEN CHARLES SMITH MD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

DAVENPORT

State

Zip

52803

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006