TODD J SMITH 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

TODD

Middle

Last Name

SMITH

Business Name

TODD J SMITH

Original Issue Date

06/03/2004

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

SALINE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023