BONNIE JEAN SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028188

License Status

EXPIRED

Business

Title

First Name

BONNIE

Middle

JEAN

Last Name

SMITH

Business Name

BONNIE JEAN SMITH MD

Original Issue Date

05/18/1992

Effective Date

05/18/1992

Expiration Date

12/26/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006