GAIL SUSAN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

First Name

GAIL

Middle

SUSAN

Last Name

SMITH

Suffix

Business Name

GAIL SUSAN SMITH MD

Original Issue Date

06/19/2000

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023