KIM Y SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

NOT RENEWED

Business

First Name

KIM Y

Last Name

SMITH

Business Name

KIM Y SMITH

Original Issue Date

12/01/1994

Effective Date

12/01/1994

Expiration Date

07/31/1996

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006