BONNIE JEAN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

ACTIVE

Business

Title

First Name

BONNIE

Middle

JEAN

Last Name

SMITH

Business Name

BONNIE JEAN SMITH MD

Original Issue Date

08/30/1995

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2023