DAVID B SMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020076

License Status

EXPIRED

Business

First Name

DAVID

Middle

Last Name

SMITH

Business Name

DAVID B SMITH

Original Issue Date

07/10/1986

Effective Date

07/10/1986

Expiration Date

07/01/1989

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006