KEVIN RAYMOND SMITH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

First Name

KEVIN

Middle

RAYMOND

Last Name

SMITH

Business Name

KEVIN RAYMOND SMITH

Original Issue Date

04/22/2011

Effective Date

04/10/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2023