HEATHER E SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103402

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

SMITH

Business Name

HEATHER E SMITH

Original Issue Date

09/05/2000

Effective Date

09/05/2000

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006