ELEANOR GWEN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

ELEANOR

Middle

GWEN

Last Name

SMITH

Suffix

Business Name

ELEANOR GWEN SMITH MD

Original Issue Date

06/07/2011

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023