SCOTT EDWARD SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035247

License Status

EXPIRED

Business

First Name

SCOTT

Middle

EDWARD

Last Name

SMITH

Suffix

Business Name

SCOTT EDWARD SMITH MD

Original Issue Date

06/25/1996

Effective Date

06/25/1996

Expiration Date

06/21/1999

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2009