MITCHELL T SMITH MD - Medical Doctor License in Idaho | # 036120424

MITCHELL T SMITH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120424

License Status

NOT RENEWED

Business

N

First Name

MITCHELL

Middle

T

Last Name

SMITH

Suffix

MD

Business Name

MITCHELL T SMITH MD

Original Issue Date

04/02/2008

Effective Date

04/02/2008

Expiration Date

07/31/2011

State

ID

Ever Disciplined

N

LastModifiedDate

11/14/2011