GREGG A SMITH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023482

License Status

EXPIRED

Business

First Name

GREGG A

Last Name

SMITH

Suffix

Business Name

GREGG A SMITH DO

Original Issue Date

05/03/1989

Effective Date

05/03/1989

Expiration Date

06/22/1992

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006