JACKSON ALGERNON SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

JACKSON ALGERNON

Last Name

SMITH

Suffix

Business Name

JACKSON ALGERNON SMITH MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006