STEPHEN DALE 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

STEPHEN

Middle

DALE

Last Name

SMITH

Suffix

Business Name

STEPHEN DALE SMITH MD

Original Issue Date

11/09/1989

Effective Date

11/09/1989

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011