MICHAEL SCOTT SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092274

License Status

ACTIVE

Business

First Name

MICHAEL SCOTT

Last Name

SMITH

Suffix

Business Name

MICHAEL SCOTT SMITH MD

Original Issue Date

12/27/1995

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/02/2023