RICHARD LEE SMITH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

NOT RENEWED

N

RICHARD LEE

SMITH

MD

RICHARD LEE SMITH MD

01/01/1997

06/12/2008

07/31/2011

SPRINGFIELD

IL

62702

SANGAMON

II III IV V

N

04/05/2020