STEPHEN ROY SMITH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032361

License Status

EXPIRED

Business

First Name

STEPHEN ROY

Last Name

SMITH

Business Name

STEPHEN ROY SMITH

Original Issue Date

09/15/1994

Effective Date

09/15/1994

Expiration Date

09/14/1995

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006