MICHAEL G SMOCK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091125

License Status

NOT RENEWED

Business

First Name

MICHAEL G

Last Name

SMOCK

Suffix

Business Name

MICHAEL G SMOCK MD

Original Issue Date

07/01/1995

Effective Date

07/01/1995

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006