KEVIN DENNIS SMITH DPM - Podiatrist License in Illinois | # 016004863

KEVIN DENNIS SMITH DPM

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004863

License Status

INACTIVE

Business

N

First Name

KEVIN

Middle

DENNIS

Last Name

SMITH

Suffix

DPM

Business Name

KEVIN DENNIS SMITH DPM

Original Issue Date

02/28/1998

Effective Date

11/08/2020

Expiration Date

01/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

12/07/2022