KIMBERLY Y SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000208

License Status

EXPIRED

Business

First Name

KIMBERLY

Middle

Last Name

SMITH

Suffix

Business Name

KIMBERLY Y SMITH MD

Original Issue Date

07/31/2003

Effective Date

07/31/2003

Expiration Date

02/03/2004

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

09/23/2006