HARRY ROBINSON SMOUSE 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

First Name

HARRY

Middle

ROBINSON

Last Name

SMOUSE

Suffix

Business Name

HARRY ROBINSON SMOUSE MD

Original Issue Date

01/26/1998

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

EAST PEORIA

State

Zip

61611

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021