MARK PATRICK SMYTH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

PATRICK

Last Name

SMYTH

Business Name

MARK PATRICK SMYTH MD

Original Issue Date

08/12/2014

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

DEKALB

State

Zip

60115

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023