MELANIE A SMITH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032564

License Status

EXPIRED

Business

First Name

MELANIE A

Last Name

SMITH

Suffix

Business Name

MELANIE A SMITH DO

Original Issue Date

05/17/1995

Effective Date

05/17/1995

Expiration Date

06/20/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006