GREGORY SCOTT SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026662

License Status

EXPIRED

Business

First Name

GREGORY SCOTT

Last Name

SMITH

Suffix

Business Name

GREGORY SCOTT SMITH MD

Original Issue Date

05/15/1991

Effective Date

05/15/1991

Expiration Date

06/30/1994

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006