PHILIP A SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

NOT RENEWED

Business

First Name

PHILIP A

Last Name

SMITH

Suffix

Business Name

PHILIP A SMITH MD

Original Issue Date

11/13/1985

Effective Date

11/13/1985

Expiration Date

07/31/1987

City

OTTAWA

State

Zip

61350

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006