CRYSTAL MARIE SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

MARIE

Last Name

SMITH

Suffix

Business Name

CRYSTAL MARIE SMITH MD

Original Issue Date

05/12/2005

Effective Date

06/18/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2023