EDWARD ANTHONY SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043628

License Status

NOT RENEWED

Business

First Name

EDWARD ANTHONY

Last Name

SMITH

Suffix

Business Name

EDWARD ANTHONY SMITH MD

Original Issue Date

08/10/1970

Effective Date

05/15/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/30/2023