BRENT E SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083801

License Status

NOT RENEWED

Business

First Name

BRENT E

Last Name

SMITH

Suffix

Business Name

BRENT E SMITH DO

Original Issue Date

12/03/1991

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017