BLAKE A SMITH Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****77

License Status

ACTIVE

Business

First Name

BLAKE A

Last Name

SMITH

Business Name

BLAKE A SMITH

Original Issue Date

11/20/1989

Effective Date

12/11/2024

Expiration Date

01/31/2027

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025