STANYA SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101680

License Status

NOT RENEWED

Business

First Name

STANYA

Last Name

SMITH

Business Name

STANYA SMITH

Original Issue Date

12/07/1999

Effective Date

12/07/1999

Expiration Date

07/31/2005

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/09/2006