KILEE RAYELLE SMITH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049991

License Status

EXPIRED

Business

First Name

KILEE

Middle

RAYELLE

Last Name

SMITH

Suffix

Business Name

KILEE RAYELLE SMITH DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

09/03/2008

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/26/2008