RYAN BRADLEY SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

Title

First Name

RYAN

Middle

BRADLEY

Last Name

SMITH

Business Name

RYAN BRADLEY SMITH MD

Original Issue Date

02/14/2022

Effective Date

07/26/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/26/2023