BRIAN A SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SMITH

Business Name

BRIAN A SMITH

Original Issue Date

03/25/2003

Effective Date

03/25/2003

Expiration Date

07/31/2008

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008