KEVIN S SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

KEVIN S

Last Name

SMITH

Business Name

KEVIN S SMITH MD

Original Issue Date

03/19/1991

Effective Date

07/31/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60643

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021