JASON D SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057474

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

SMITH

Suffix

Business Name

JASON D SMITH DO

Original Issue Date

08/21/1978

Effective Date

01/31/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

1984000592

Action

Summary Suspension

Discipline Start Date

01/29/1986

Discipline End Date

03/24/1986