DAVID IAN SMITH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059754

License Status

EXPIRED

Business

Title

First Name

DAVID

Middle

IAN

Last Name

SMITH

Business Name

DAVID IAN SMITH DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/13/2015