EDWARD A SMITH MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003616

License Status

NOT RENEWED

Business

Business Name

EDWARD A SMITH MD SC

Original Issue Date

05/02/1979

Effective Date

05/02/1979

Expiration Date

01/01/1996

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/26/2006