DAVID ALLEN SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

DAVID ALLEN

Last Name

SMITH

Suffix

Business Name

DAVID ALLEN SMITH MD

Original Issue Date

05/24/1995

Effective Date

05/24/1995

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006