KENNETH R SMITH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

Title

First Name

KENNETH

Middle

Last Name

SMITH

Suffix

Business Name

KENNETH R SMITH JR MD

Original Issue Date

05/13/1986

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

GREENVILLE

State

Zip

62246

County

BOND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020