TANISHA SMITH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****90

License Status

NOT RENEWED

Business

First Name

TANISHA

Last Name

SMITH

Suffix

DPM

Business Name

TANISHA SMITH DPM

Original Issue Date

08/09/2010

Effective Date

08/09/2010

Expiration Date

01/31/2011

City

DEERFIELD

State

Zip

60015

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/10/2011