KYLA NICHELLE SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

ACTIVE

Business

Title

First Name

KYLA

Middle

NICHELLE

Last Name

SMITH

Business Name

KYLA NICHELLE SMITH MD

Original Issue Date

01/03/2012

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2026