DENICE NOEL SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

DENICE

Middle

NOEL

Last Name

SMITH

Business Name

DENICE NOEL SMITH MD

Original Issue Date

08/16/2007

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023