MARK ALAN SMITH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****03

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ALAN

Last Name

SMITH

Suffix

DPM

Business Name

MARK ALAN SMITH DPM

Original Issue Date

03/03/1997

Effective Date

11/04/2022

Expiration Date

01/31/2025

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026