KIMBERLY Y SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****13

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

SMITH

Suffix

Business Name

KIMBERLY Y SMITH MD

Original Issue Date

12/01/1997

Effective Date

08/10/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

04/05/2020