JASON W SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112925

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

SMITH

Suffix

Business Name

JASON W SMITH MD

Original Issue Date

01/19/2005

Effective Date

07/06/2011

Expiration Date

07/31/2014

City

PALO ALTO

State

Zip

94304

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

11/17/2014