AVRAM JONATHAN SMUKLER MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

CANCELLED

Business

First Name

AVRAM

Middle

JONATHAN

Last Name

SMUKLER

Suffix

Business Name

AVRAM JONATHAN SMUKLER MD

Original Issue Date

10/24/2000

Effective Date

10/24/2000

Expiration Date

07/31/2002

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006