SPENCER DAVID SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125673

License Status

NOT RENEWED

Business

First Name

SPENCER

Middle

DAVID

Last Name

SMITH

Suffix

Business Name

SPENCER DAVID SMITH MD

Original Issue Date

05/04/2010

Effective Date

04/12/2011

Expiration Date

07/31/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

11/17/2014