TIMOTHY R SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053490

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

Last Name

SMITH

Suffix

Business Name

TIMOTHY R SMITH MD

Original Issue Date

06/18/2013

Effective Date

06/18/2013

Expiration Date

06/17/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/13/2015