DEAN PRESTON SMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023436

License Status

EXPIRED

Business

First Name

DEAN PRESTON

Last Name

SMITH

Business Name

DEAN PRESTON SMITH

Original Issue Date

04/29/1989

Effective Date

04/29/1989

Expiration Date

07/01/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006