CARROLL EDWARD SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036570

License Status

NOT RENEWED

Business

First Name

CARROLL

Middle

EDWARD

Last Name

SMITH

Suffix

Business Name

CARROLL EDWARD SMITH MD

Original Issue Date

06/06/1960

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011