ROGER PERRY SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047601

License Status

INACTIVE

Business

First Name

ROGER PERRY

Last Name

SMITH

Suffix

Business Name

ROGER PERRY SMITH MD

Original Issue Date

07/20/1973

Effective Date

07/20/1973

Expiration Date

07/31/1987

City

AUGUSTA

State

Zip

30912

County

GEORGIA

Ever Disciplined

LastModifiedDate

12/06/2010