KEVIN MICHAEL SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

ACTIVE

Business

First Name

KEVIN

Middle

MICHAEL

Last Name

SMITH

Suffix

Business Name

KEVIN MICHAEL SMITH MD

Original Issue Date

07/25/1996

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

ROMEOVILLE

State

Zip

60446

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023