ELIZABETH ANNE SMALL MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

INOPERATIVE

Business

First Name

ELIZABETH ANNE

Last Name

SMALL

Suffix

Business Name

ELIZABETH ANNE SMALL MD

Original Issue Date

04/18/1986

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75248

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023