ROGER DEAN SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038207

License Status

NOT RENEWED

Business

First Name

ROGER DEAN

Last Name

SMITH

Suffix

Business Name

ROGER DEAN SMITH MD

Original Issue Date

11/29/1962

Effective Date

11/29/1962

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006