ALEXIS CHRISTINE SMITH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059305

License Status

CANCELLED

Business

Title

First Name

ALEXIS

Middle

CHRISTINE

Last Name

SMITH

Business Name

ALEXIS CHRISTINE SMITH DO

Original Issue Date

06/20/2011

Effective Date

06/20/2011

Expiration Date

06/19/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/16/2011