STEPHANIE DAWN SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039771

License Status

EXPIRED

Business

First Name

STEPHANIE

Middle

DAWN

Last Name

SMITH

Suffix

Business Name

STEPHANIE DAWN SMITH MD

Original Issue Date

06/21/1999

Effective Date

06/21/1999

Expiration Date

06/20/2003

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006