JOSHUA ROBERT SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139354

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

ROBERT

Last Name

SMITH

Business Name

JOSHUA ROBERT SMITH MD

Original Issue Date

11/12/2015

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/14/2021