ELLEN CYRILLE SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

ELLEN CYRILLE

Last Name

SMITH

Suffix

Business Name

ELLEN CYRILLE SMITH MD

Original Issue Date

10/20/1981

Effective Date

10/20/1981

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60602

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011