W SEAN SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015378

License Status

EXPIRED

Business

First Name

Middle

SEAN

Last Name

SMITH

Suffix

Business Name

W SEAN SMITH MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

06/25/1985

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2008