JOSEPH K SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

SMITH

Suffix

Business Name

JOSEPH K SMITH MD

Original Issue Date

06/24/1991

Effective Date

06/24/1991

Expiration Date

07/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/10/2007

Case Number

2007003833

Action

Summary Suspension

Discipline Start Date

08/10/2007

Discipline End Date

10/05/2007

Discipline Reason

due to controlled substance violations, addiction to substances, failure to maintain records, and self-prescribing controlled substances.