KATHLEEN M SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068643

License Status

NOT RENEWED

Business

First Name

KATHLEEN M

Last Name

SMITH

Suffix

Business Name

KATHLEEN M SMITH MD

Original Issue Date

05/14/1984

Effective Date

05/14/1984

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

02/18/2011