JOSHUA ROBERT SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

ROBERT

Last Name

SMITH

Business Name

JOSHUA ROBERT SMITH MD

Original Issue Date

11/12/2015

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WISCONSIN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/14/2021