DOUGLAS C SMITH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

First Name

DOUGLAS C

Last Name

SMITH

Business Name

DOUGLAS C SMITH

Original Issue Date

06/15/1990

Effective Date

06/15/1990

Expiration Date

01/31/1993

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006