SPENCER DAVID SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

SPENCER

Middle

DAVID

Last Name

SMITH

Suffix

Business Name

SPENCER DAVID SMITH MD

Original Issue Date

05/06/2010

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014