MICHAEL JAMES SMITH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JAMES

Last Name

SMITH

Suffix

DPM

Business Name

MICHAEL JAMES SMITH DPM

Original Issue Date

06/10/2002

Effective Date

12/28/2016

Expiration Date

01/31/2019

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/28/2019