RAYMOND P SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

First Name

RAYMOND

Middle

Last Name

SMITH

Suffix

Business Name

RAYMOND P SMITH MD

Original Issue Date

09/27/2019

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PITTSFIELD

State

Zip

62363

County

PIKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023