STACY L SMITHSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

STACY

Middle

Last Name

SMITHSON

Business Name

STACY L SMITHSON MD

Original Issue Date

09/20/2019

Effective Date

09/20/2019

Expiration Date

09/30/2020

City

LEXINGTON

State

Zip

29073

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021