BERNARD SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

First Name

BERNARD

Last Name

SMITH

Suffix

Business Name

BERNARD SMITH MD

Original Issue Date

07/17/1990

Effective Date

06/19/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021