KRISTIN NICOLE SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

First Name

KRISTIN

Middle

NICOLE

Last Name

SMITH

Suffix

Business Name

KRISTIN NICOLE SMITH MD

Original Issue Date

12/04/2006

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023