MARK L SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067104

License Status

NOT RENEWED

Business

First Name

MARK L

Last Name

SMITH

Suffix

Business Name

MARK L SMITH MD

Original Issue Date

07/22/1983

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

JOHNSTON CITY

State

Zip

62951

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/14/2021