STEPHANIE SHINTANI SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051770

License Status

CANCELLED

Business

First Name

STEPHANIE

Middle

SHINTANI

Last Name

SMITH

Suffix

Business Name

STEPHANIE SHINTANI SMITH MD

Original Issue Date

06/30/2009

Effective Date

06/30/2009

Expiration Date

06/29/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

02/25/2009