DIONNE VANESSA SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

DIONNE

Middle

VANESSA

Last Name

SMITH

Business Name

DIONNE VANESSA SMITH MD

Original Issue Date

06/19/2015

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023