GAIL SUSAN SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027037

License Status

EXPIRED

Business

First Name

GAIL

Middle

SUSAN

Last Name

SMITH

Suffix

Business Name

GAIL SUSAN SMITH MD

Original Issue Date

05/31/1991

Effective Date

05/31/1991

Expiration Date

06/30/1995

City

CHCIAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006