TED R SMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024472

License Status

EXPIRED

Business

First Name

TED

Middle

Last Name

SMITH

Business Name

TED R SMITH

Original Issue Date

07/19/1989

Effective Date

07/19/1989

Expiration Date

07/18/1992

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Addiction Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006