DANIELLE ANNE SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

ACTIVE

Business

Title

First Name

DANIELLE

Middle

ANNE

Last Name

SMITH

Business Name

DANIELLE ANNE SMITH MD

Original Issue Date

01/22/2025

Effective Date

01/22/2025

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2025