STEPHEN TIMOTHY SMITH MD Medical Doctor License verification

STEPHEN TIMOTHY SMITH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124708

License Status

NOT RENEWED

Business

Title

First Name

STEPHEN

Middle

TIMOTHY

Last Name

SMITH

Business Name

STEPHEN TIMOTHY SMITH MD

Original Issue Date

12/08/2009

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

08/27/2020

Case Number

2020004530

Action

Probation

Discipline Start Date

08/24/2020

Discipline Reason

physician and surgeon license placed on indefinite probation for a minimum of 12 months for sister-state discipline by Michigan Board of Medicine in January 2020.