SHANI KAMARIA SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130820

License Status

ACTIVE

Business

Title

First Name

SHANI

Middle

KAMARIA

Last Name

SMITH

Business Name

SHANI KAMARIA SMITH DO

Original Issue Date

07/11/2012

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/30/2023