STEPHANIE SHINTANI 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

STEPHANIE

Middle

SHINTANI

Last Name

SMITH

Suffix

Business Name

STEPHANIE SHINTANI SMITH MD

Original Issue Date

04/13/2011

Effective Date

05/30/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/30/2023