SHIRLEY SOPHIA SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063497

License Status

NOT RENEWED

Business

First Name

SHIRLEY SOPHIA

Last Name

SMITH

Suffix

Business Name

SHIRLEY SOPHIA SMITH MD

Original Issue Date

10/29/1981

Effective Date

10/29/1981

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006