DOUGLAS ALEXANDER SMITH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055997

License Status

CANCELLED

Business

Title

First Name

DOUGLAS

Middle

ALEXANDER

Last Name

SMITH

Business Name

DOUGLAS ALEXANDER SMITH DO

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Rotating Internship

Ever Disciplined

LastModifiedDate

04/30/2009