STANYA SMITH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036958

License Status

CANCELLED

Business

First Name

STANYA

Last Name

SMITH

Business Name

STANYA SMITH

Original Issue Date

06/26/1997

Effective Date

06/26/1997

Expiration Date

06/30/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

09/22/2006