BRIAN D SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020267

License Status

EXPIRED

Business

Title

First Name

BRIAN

Middle

Last Name

SMITH

Business Name

BRIAN D SMITH MD

Original Issue Date

08/27/1986

Effective Date

08/27/1986

Expiration Date

06/24/1989

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

10/29/2020