SHAWDAE EMOUNE THOMAS 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

SHAWDAE

Middle

EMOUNE

Last Name

THOMAS SMITH

Business Name

SHAWDAE EMOUNE THOMAS SMITH MD

Original Issue Date

06/29/2020

Effective Date

06/29/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023