CHARLES A SMITH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

SMITH

Business Name

CHARLES A SMITH

Original Issue Date

04/30/1986

Effective Date

04/30/1986

Expiration Date

01/31/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2006