SARA VASHTI SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048472

License Status

EXPIRED

Business

First Name

SARA

Middle

VASHTI

Last Name

SMITH

Suffix

Business Name

SARA VASHTI SMITH MD

Original Issue Date

07/01/2004

Effective Date

07/01/2004

Expiration Date

06/30/2007

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

07/03/2007