KENNETH E 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

First Name

KENNETH E

Last Name

SMITH

Suffix

Business Name

KENNETH E SMITH MD

Original Issue Date

01/01/1997

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023