JOHN WALLACE SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042229

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

WALLACE

Last Name

SMITH

Suffix

Business Name

JOHN WALLACE SMITH MD

Original Issue Date

10/23/1968

Effective Date

11/19/2014

Expiration Date

07/31/2017

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2005007179

Action

Probation

Discipline Start Date

04/13/2009

Discipline End Date

04/30/2015

Discipline Reason

for failure to properly perform liposuction and for performing unauthorized liposuction.