SEAN B 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

Title

First Name

SEAN

Middle

Last Name

SMITH

Business Name

SEAN B SMITH MD

Original Issue Date

05/19/2010

Effective Date

09/28/2020

Expiration Date

07/31/2023

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/30/2023