ELTON JOHN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

Title

First Name

ELTON

Middle

JOHN

Last Name

SMITH

Business Name

ELTON JOHN SMITH MD

Original Issue Date

03/25/2016

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

MOUNT LAUREL

State

Zip

08054

County

WHITESIDE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023