BENJAMIN A SMITH-DONALD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131146

License Status

NOT RENEWED

Business

Title

First Name

BENJAMIN

Middle

Last Name

SMITH-DONALD

Business Name

BENJAMIN A SMITH-DONALD MD

Original Issue Date

08/14/2012

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017