KELLEY ELIZABETH SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142017

License Status

ACTIVE

Business

Title

First Name

KELLEY

Middle

ELIZABETH

Last Name

SMITH

Business Name

KELLEY ELIZABETH SMITH DO

Original Issue Date

11/21/2016

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/07/2023