MICHAEL SCOTT SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

ACTIVE

Business

First Name

MICHAEL SCOTT

Last Name

SMITH

Suffix

Business Name

MICHAEL SCOTT SMITH MD

Original Issue Date

02/22/1996

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2023