ERICA NICOLE SMITH ANDERSON 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

First Name

ERICA

Middle

NICOLE

Last Name

SMITH ANDERSON

Suffix

Business Name

ERICA NICOLE SMITH ANDERSON MD

Original Issue Date

01/19/2007

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023