CASEY PATRICK SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036165695

License Status

ACTIVE

Business

Title

First Name

CASEY

Middle

PATRICK

Last Name

SMITH

Business Name

CASEY PATRICK SMITH DO

Original Issue Date

07/03/2023

Effective Date

07/03/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2023