KOERT ROBERT SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

KOERT ROBERT

Last Name

SMITH

Suffix

Business Name

KOERT ROBERT SMITH MD

Original Issue Date

03/17/1998

Effective Date

03/17/1998

Expiration Date

07/31/1999

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006