CARRIE L SMITH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

SMITH

Business Name

CARRIE L SMITH

Original Issue Date

06/27/2006

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60660

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023