GREGORY RANDALL SMITH JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130395

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

RANDALL

Last Name

SMITH

Suffix

Business Name

GREGORY RANDALL SMITH JR MD

Original Issue Date

05/21/2012

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023