PATRICIA ANN SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043629

License Status

NOT RENEWED

Business

First Name

PATRICIA ANN

Last Name

SMITH

Suffix

Business Name

PATRICIA ANN SMITH MD

Original Issue Date

08/10/1970

Effective Date

10/06/2020

Expiration Date

07/31/2023

City

RIDGWAY

State

Zip

62979

County

GALLATIN

Ever Disciplined

LastModifiedDate

11/30/2023