FORREST W SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064356

License Status

INACTIVE

Business

First Name

FORREST W

Last Name

SMITH

Suffix

Business Name

FORREST W SMITH MD

Original Issue Date

05/24/1982

Effective Date

05/24/1982

Expiration Date

07/31/1987

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006