BRIAN D SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069879

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

SMITH

Suffix

Business Name

BRIAN D SMITH MD

Original Issue Date

11/21/1984

Effective Date

11/21/1984

Expiration Date

07/31/1987

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006