WAYNE F SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026745

License Status

EXPIRED

Business

First Name

WAYNE F

Last Name

SMITH

Suffix

Business Name

WAYNE F SMITH MD

Original Issue Date

05/16/1991

Effective Date

05/16/1991

Expiration Date

06/23/1995

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006