GINA L SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105255

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

SMITH

Suffix

Business Name

GINA L SMITH MD

Original Issue Date

07/20/2001

Effective Date

08/01/2014

Expiration Date

07/31/2017

City

MELROSE PARK

State

Zip

60160

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017