MECCA KAREN MAXEY-SMARTT Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

MECCA

Middle

KAREN

Last Name

MAXEY-SMARTT

Business Name

MECCA KAREN MAXEY-SMARTT

Original Issue Date

01/23/2008

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

LAKE VILLA

State

Zip

60046

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021