WILLIAM KENNEDY SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090779

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

KENNEDY

Last Name

SMITH

Suffix

Business Name

WILLIAM KENNEDY SMITH MD

Original Issue Date

05/31/1995

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

06/04/2019