CASEY PATRICK SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

ACTIVE

Business

Title

First Name

CASEY

Middle

PATRICK

Last Name

SMITH

Business Name

CASEY PATRICK SMITH DO

Original Issue Date

07/11/2023

Effective Date

07/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60641

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/11/2023