BRUCE S SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

BRUCE S

Last Name

SMITH

Suffix

Business Name

BRUCE S SMITH MD

Original Issue Date

05/21/1998

Effective Date

05/21/1998

Expiration Date

07/31/2005

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020