E CLYDE SMOOT III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061343

License Status

NOT RENEWED

Business

First Name

E CLYDE

Last Name

SMOOT III

Suffix

Business Name

E CLYDE SMOOT III MD

Original Issue Date

12/01/1980

Effective Date

12/01/1980

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006