TIMOTHY S SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093943

License Status

ACTIVE

Business

First Name

TIMOTHY S

Last Name

SMITH

Suffix

Business Name

TIMOTHY S SMITH DO

Original Issue Date

08/09/1996

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/21/2023