TODD J SMITH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111462

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

SMITH

Business Name

TODD J SMITH

Original Issue Date

05/25/2004

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

MARION

State

Zip

62959

County

JACKSON

Ever Disciplined

LastModifiedDate

05/17/2023