KENNETH E SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050160

License Status

ACTIVE

Business

First Name

KENNETH E

Last Name

SMITH

Suffix

Business Name

KENNETH E SMITH MD

Original Issue Date

10/10/1974

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

NORTHFIELD

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

06/24/2023