STEVEN W SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083683

License Status

NOT RENEWED

Business

First Name

STEVEN W

Last Name

SMITH

Suffix

Business Name

STEVEN W SMITH MD

Original Issue Date

11/05/1991

Effective Date

11/05/1991

Expiration Date

07/31/1993

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006