DAVID ROSS SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

DAVID ROSS

Last Name

SMITH

Suffix

Business Name

DAVID ROSS SMITH MD

Original Issue Date

09/04/1990

Effective Date

09/04/1990

Expiration Date

07/31/1993

City

HANOVER

State

Zip

61041

County

JO DAVIESS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006