TAMARA MARIE SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126160

License Status

ACTIVE

Business

First Name

TAMARA

Middle

MARIE

Last Name

SMITH

Suffix

Business Name

TAMARA MARIE SMITH DO

Original Issue Date

06/25/2010

Effective Date

05/02/2023

Expiration Date

07/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/02/2023