JUSTIN S SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036119344

License Status

NOT RENEWED

Business

Title

First Name

JUSTIN

Middle

Last Name

SMITH

Business Name

JUSTIN S SMITH MD

Original Issue Date

09/04/2007

Effective Date

09/04/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008