STEPHEN TIMOTHY 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

Title

First Name

STEPHEN

Middle

TIMOTHY

Last Name

SMITH

Business Name

STEPHEN TIMOTHY SMITH MD

Original Issue Date

12/28/2009

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017