DEREK W SMITH - Medical Doctor License in New York | # 036112062

DEREK W SMITH

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112062

License Status

NOT RENEWED

Business

N

First Name

DEREK

Middle

W

Last Name

SMITH

Business Name

DEREK W SMITH

Original Issue Date

08/10/2004

Effective Date

04/21/2014

Expiration Date

07/31/2017

State

NY

Ever Disciplined

N

LastModifiedDate

11/01/2017