FRED NEWMAN SMITH JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033922

License Status

INACTIVE

Business

First Name

FRED NEWMAN

Last Name

SMITH JR

Suffix

Business Name

FRED NEWMAN SMITH JR MD

Original Issue Date

03/09/1956

Effective Date

03/09/1956

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006