GEOFFREY BRYANT SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054619

License Status

CANCELLED

Business

Title

First Name

GEOFFREY

Middle

BRYANT

Last Name

SMITH

Business Name

GEOFFREY BRYANT SMITH MD

Original Issue Date

07/27/2011

Effective Date

07/27/2011

Expiration Date

07/26/2014

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Cardiovascular Disease

Ever Disciplined

LastModifiedDate

07/27/2011