BONNIE JOY SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

BONNIE

Middle

JOY

Last Name

SMITH

Business Name

BONNIE JOY SMITH DO

Original Issue Date

08/21/2019

Effective Date

05/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/11/2023