LAURA ELIZABETH SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

LAURA

Middle

ELIZABETH

Last Name

SMITH

Business Name

LAURA ELIZABETH SMITH MD

Original Issue Date

08/21/2012

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61602

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023