JANTSEN ROBERT SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

JANTSEN

Middle

ROBERT

Last Name

SMITH

Business Name

JANTSEN ROBERT SMITH MD

Original Issue Date

06/23/2020

Effective Date

06/14/2023

Expiration Date

07/31/2026

City

ALBUQUERQUE

State

Zip

87113

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/14/2023