BRIAN D SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

Last Name

SMITH

Business Name

BRIAN D SMITH MD

Original Issue Date

02/03/2020

Effective Date

02/03/2020

Expiration Date

09/30/2020

City

HINSDALE

State

Zip

60521

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021