MINDY ANN SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062498

License Status

NOT RENEWED

Business

First Name

MINDY ANN

Last Name

SMITH

Suffix

Business Name

MINDY ANN SMITH MD

Original Issue Date

07/10/1981

Effective Date

07/10/1981

Expiration Date

07/31/1984

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

09/20/2006