JEANNE F SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

JEANNE

Middle

Last Name

SMITH

Suffix

Business Name

JEANNE F SMITH MD

Original Issue Date

05/31/1985

Effective Date

09/24/2020

Expiration Date

07/31/2023

City

GALESBURG

State

Zip

61401

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023