CHARLI W SMITH JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139019

License Status

ACTIVE

Business

Title

First Name

CHARLI

Middle

Last Name

SMITH

Suffix

Business Name

CHARLI W SMITH JR MD

Original Issue Date

08/26/2015

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

07/07/2023