SHANI KAMARIA SMITH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053488

License Status

CANCELLED

Business

Title

First Name

SHANI

Middle

KAMARIA

Last Name

SMITH

Business Name

SHANI KAMARIA SMITH DO

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Internal Medicine/Emergency Medicine

Ever Disciplined

LastModifiedDate

05/21/2010