DIANA ALEXIS SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

Title

First Name

DIANA

Middle

ALEXIS

Last Name

SMITH

Business Name

DIANA ALEXIS SMITH MD

Original Issue Date

03/22/2021

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60604

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023