DAVID ALLEN SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090675

License Status

NOT RENEWED

Business

First Name

DAVID ALLEN

Last Name

SMITH

Suffix

Business Name

DAVID ALLEN SMITH MD

Original Issue Date

05/15/1995

Effective Date

05/15/1995

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006