ELEANOR GWEN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127622

License Status

ACTIVE

Business

First Name

ELEANOR

Middle

GWEN

Last Name

SMITH

Suffix

Business Name

ELEANOR GWEN SMITH MD

Original Issue Date

04/19/2011

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023