BRIAN D SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079800

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

Last Name

SMITH

Business Name

BRIAN D SMITH MD

Original Issue Date

03/24/1990

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/30/2023