DALE MICHAEL SMITH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****17

License Status

NOT RENEWED

Business

First Name

DALE MICHAEL

Last Name

SMITH

Business Name

DALE MICHAEL SMITH

Original Issue Date

01/01/1998

Effective Date

01/28/2021

Expiration Date

01/31/2023

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/31/2023