EDWARD B SMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021827

License Status

EXPIRED

Business

First Name

EDWARD

Middle

Last Name

SMITH

Business Name

EDWARD B SMITH

Original Issue Date

03/31/1988

Effective Date

03/31/1988

Expiration Date

08/29/1992

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

09/22/2006