RADHIKA KAUSALYA SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

Title

First Name

RADHIKA

Middle

KAUSALYA

Last Name

SMITH

Business Name

RADHIKA KAUSALYA SMITH MD

Original Issue Date

06/21/2016

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63110

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023