Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****44

NOT RENEWED

N

JASON

D

SMITH

DO

JASON D SMITH DO

01/01/1997

07/31/1987

CHICAGO

IL

60649

COOK

III IV V

Y

04/12/2017

1984000592

Probation

11/28/1995

04/16/2004

Previously revoked controlled substance license restored and placed on indefinite probation for a minimum of five years.