BONNIE JEAN SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

Title

First Name

BONNIE

Middle

JEAN

Last Name

SMITH

Business Name

BONNIE JEAN SMITH MD

Original Issue Date

05/26/2022

Effective Date

05/26/2022

Expiration Date

07/31/2023

City

LINCOLN

State

Zip

62656

County

LOGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023