EDWARD J SMITH JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044300

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

SMITH JR

Suffix

Business Name

EDWARD J SMITH JR MD

Original Issue Date

06/22/1971

Effective Date

06/22/1971

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006