STEPHEN J SMART MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

STEPHEN J

Last Name

SMART

Suffix

Business Name

STEPHEN J SMART MD

Original Issue Date

01/19/1996

Effective Date

06/02/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/02/2023