MICHAEL J 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

MICHAEL

Middle

Last Name

SMITH

Business Name

MICHAEL J SMITH MD

Original Issue Date

07/08/2022

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BISMARCK

State

Zip

61814

County

VERMILION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023