MICHAEL ALLEN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

MICHAEL

Middle

ALLEN

Last Name

SMITH

Suffix

Business Name

MICHAEL ALLEN SMITH MD

Original Issue Date

08/31/2005

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023