LAURA ELIZABETH SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055872

License Status

CANCELLED

Business

Title

First Name

LAURA

Middle

ELIZABETH

Last Name

SMITH

Business Name

LAURA ELIZABETH SMITH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

PEORIA

State

Zip

61602

County

PEORIA

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/07/2009