JON THOMAS SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

JON THOMAS

Last Name

SMITH

Suffix

Business Name

JON THOMAS SMITH MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

WINFIELD

State

Zip

60190

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006