DAVID A SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014360

License Status

EXPIRED

Business

First Name

DAVID A

Last Name

SMITH

Suffix

Business Name

DAVID A SMITH MD

Original Issue Date

06/17/1982

Effective Date

06/17/1982

Expiration Date

07/01/1984

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006