DAVID S SMITH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

SMITH JR

Suffix

Business Name

DAVID S SMITH JR MD

Original Issue Date

08/26/1981

Effective Date

08/26/1981

Expiration Date

07/31/1984

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006