GAIL SUSAN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102305

License Status

ACTIVE

Business

First Name

GAIL

Middle

SUSAN

Last Name

SMITH

Suffix

Business Name

GAIL SUSAN SMITH MD

Original Issue Date

04/10/2000

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

07/21/2023