ELBERT BOHANNON SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060529

License Status

INACTIVE

Business

First Name

ELBERT BOHANNON

Last Name

SMITH

Suffix

Business Name

ELBERT BOHANNON SMITH MD

Original Issue Date

07/10/1980

Effective Date

05/08/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

08/09/2016