CLYDE R SMITH III MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063555

License Status

NOT RENEWED

Business

First Name

CLYDE R

Last Name

SMITH III

Suffix

Business Name

CLYDE R SMITH III MD

Original Issue Date

11/13/1981

Effective Date

11/13/1981

Expiration Date

07/31/1987

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006