HEATHER E SMITH - Medical Doctor License in Illinois | # 036103402

HEATHER E SMITH

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103402

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

E

Last Name

SMITH

Business Name

HEATHER E SMITH

Original Issue Date

09/05/2000

Effective Date

09/05/2000

Expiration Date

07/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006