PAUL ALAN SMUCKER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

First Name

PAUL

Middle

ALAN

Last Name

SMUCKER

Suffix

Business Name

PAUL ALAN SMUCKER MD

Original Issue Date

12/23/1992

Effective Date

12/23/1992

Expiration Date

07/31/2002

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020