JESSICA N SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

SMITH

Business Name

JESSICA N SMITH

Original Issue Date

11/09/2004

Effective Date

11/09/2004

Expiration Date

07/31/2008

City

WHEELER

State

Zip

62479

County

JASPER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011