CHARLES PEARCE SMITH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041652

License Status

NOT RENEWED

Business

First Name

CHARLES PEARCE

Last Name

SMITH JR

Suffix

Business Name

CHARLES PEARCE SMITH JR MD

Original Issue Date

03/29/1968

Effective Date

03/29/1968

Expiration Date

07/31/2002

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/09/2006