KELLEY SCOTT BOND SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059413

License Status

EXPIRED

Business

Title

First Name

KELLEY

Middle

SCOTT BOND

Last Name

SMITH

Business Name

KELLEY SCOTT BOND SMITH MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/13/2015