TERRY JAY SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060224

License Status

NOT RENEWED

Business

First Name

TERRY JAY

Last Name

SMITH

Suffix

Business Name

TERRY JAY SMITH MD

Original Issue Date

04/11/1980

Effective Date

04/11/1980

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006