LARA ENID SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

ACTIVE

Business

Title

First Name

LARA

Middle

ENID

Last Name

SMITH

Business Name

LARA ENID SMITH MD

Original Issue Date

07/12/2024

Effective Date

07/12/2024

Expiration Date

07/31/2026

City

BREMERTON

State

Zip

98312

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026