STEVEN W SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

STEVEN W

Last Name

SMITH

Suffix

Business Name

STEVEN W SMITH MD

Original Issue Date

12/03/1991

Effective Date

12/03/1991

Expiration Date

07/31/1993

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006