CARL EDWARD SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028913

License Status

NOT RENEWED

Business

First Name

CARL EDWARD

Last Name

SMITH

Suffix

Business Name

CARL EDWARD SMITH MD

Original Issue Date

08/18/1948

Effective Date

08/18/1948

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006