GWYNETH SMITH THOMPSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113866

License Status

ACTIVE

Business

First Name

GWYNETH

Middle

SMITH

Last Name

THOMPSON

Suffix

Business Name

GWYNETH SMITH THOMPSON MD

Original Issue Date

06/14/2005

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2023