KEVIN CHARLES SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121979

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

CHARLES

Last Name

SMITH

Suffix

Business Name

KEVIN CHARLES SMITH DO

Original Issue Date

09/19/2008

Effective Date

07/15/2011

Expiration Date

07/31/2014

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

11/17/2014