CHARLI W SMITH JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

CHARLI

Middle

Last Name

SMITH

Suffix

Business Name

CHARLI W SMITH JR MD

Original Issue Date

08/26/2015

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

JACKSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/07/2023