C RICHARD SMITH JR DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055627

License Status

NOT RENEWED

Business

First Name

C RICHARD

Last Name

SMITH JR

Suffix

Business Name

C RICHARD SMITH JR DO

Original Issue Date

08/22/1977

Effective Date

05/16/2011

Expiration Date

07/31/2014

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014