Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****45

NOT RENEWED

N

JASON

D

SMITH

DO

JASON D SMITH DO

08/09/1996

01/31/2018

09/30/2020

CHICAGO

IL

60621

COOK

III IV V

Y

01/14/2021

1984000592

Probation

11/28/1995

04/16/2004

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