SANDRA SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

SMITH

Business Name

SANDRA SMITH

Original Issue Date

02/24/1997

Effective Date

06/23/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60629

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014