WILLIAM KENNEDY 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

WILLIAM

Middle

KENNEDY

Last Name

SMITH

Suffix

Business Name

WILLIAM KENNEDY SMITH MD

Original Issue Date

12/26/1996

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011