ROGER H SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

Title

First Name

ROGER

Middle

Last Name

SMITH

Business Name

ROGER H SMITH MD

Original Issue Date

12/19/2012

Effective Date

12/19/2012

Expiration Date

07/31/2014

City

NAUVOO

State

Zip

62354

County

HANCOCK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014