TINA MARIE SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123148

License Status

NOT RENEWED

Business

First Name

TINA

Middle

MARIE

Last Name

SMITH

Suffix

Business Name

TINA MARIE SMITH MD

Original Issue Date

04/10/2009

Effective Date

04/10/2009

Expiration Date

07/31/2011

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/14/2011