HARRIS LAKE SMITH MD - Medical Doctor License in Tennessee | # 036041049

HARRIS LAKE SMITH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041049

License Status

NOT RENEWED

Business

N

First Name

HARRIS LAKE

Last Name

SMITH

Suffix

MD

Business Name

HARRIS LAKE SMITH MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

State

TN

Ever Disciplined

N

LastModifiedDate

09/20/2006