HANA LEA PATRICIA SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058432

License Status

CANCELLED

Business

Title

First Name

HANA LEA

Middle

PATRICIA

Last Name

SMITH

Business Name

HANA LEA PATRICIA SMITH MD

Original Issue Date

06/23/2010

Effective Date

06/23/2010

Expiration Date

06/22/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/12/2010