ERIC DANIEL SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163508

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

DANIEL

Last Name

SMITH

Business Name

ERIC DANIEL SMITH DO

Original Issue Date

01/26/2023

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/10/2023