BENJAMIN A SMITH-DONALD MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056466

License Status

EXPIRED

Business

Title

First Name

BENJAMIN

Middle

Last Name

SMITH-DONALD

Business Name

BENJAMIN A SMITH-DONALD MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012