BECKY A SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127252

License Status

NOT RENEWED

Business

Title

First Name

BECKY

Middle

Last Name

SMITH

Business Name

BECKY A SMITH MD

Original Issue Date

03/02/2011

Effective Date

05/26/2014

Expiration Date

07/31/2017

City

DEERFIELD

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017