BERNARD SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054728

License Status

NOT RENEWED

Business

First Name

BERNARD

Last Name

SMITH

Suffix

Business Name

BERNARD SMITH MD

Original Issue Date

06/09/1977

Effective Date

06/19/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021