BRUCE S SMITH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****12

NOT RENEWED

N

BRUCE

S

SMITH

MD

BRUCE S SMITH MD

09/26/1996

07/29/2008

07/31/2011

STREATOR

IL

61364

LA SALLE

II III IV V

Y

03/06/2014

2013011268

Revocation

02/28/2014

for conviction of a criminal act that requires registration under the Sex Offender Registration Act.