ADAM PETER SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049685

License Status

EXPIRED

Business

First Name

ADAM

Middle

PETER

Last Name

SMITH

Suffix

Business Name

ADAM PETER SMITH MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

07/31/2008