DIANA CLIMACO SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

DIANA

Middle

CLIMACO

Last Name

SMITH

Suffix

Business Name

DIANA CLIMACO SMITH MD

Original Issue Date

08/02/2011

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

SAINT PAUL

State

Zip

55125

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2023