JEANNE F SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015697

License Status

EXPIRED

Business

First Name

JEANNE

Middle

Last Name

SMITH

Suffix

Business Name

JEANNE F SMITH MD

Original Issue Date

06/15/1983

Effective Date

06/15/1983

Expiration Date

07/01/1985

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006