BONNIE JEAN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091686

License Status

ACTIVE

Business

Title

First Name

BONNIE

Middle

JEAN

Last Name

SMITH

Business Name

BONNIE JEAN SMITH MD

Original Issue Date

08/23/1995

Effective Date

07/27/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/27/2023