KIRK SHAWN SMITH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047171

License Status

EXPIRED

Business

First Name

KIRK

Middle

SHAWN

Last Name

SMITH

Suffix

Business Name

KIRK SHAWN SMITH DO

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

12/31/2007

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

01/03/2008