BRIAN A SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108593

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

SMITH

Business Name

BRIAN A SMITH

Original Issue Date

02/14/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008