BENJAMIN A SMITH-DONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

Last Name

SMITH-DONALD

Business Name

BENJAMIN A SMITH-DONALD MD

Original Issue Date

05/10/2013

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017