MATTHEW P SMELLEY Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042752

License Status

CANCELLED

Business

First Name

MATTHEW

Middle

Last Name

SMELLEY

Business Name

MATTHEW P SMELLEY

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

09/22/2006