LEM MICHAEL SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062824

License Status

CANCELLED

Business

Title

First Name

LEM

Middle

MICHAEL

Last Name

SMITH

Business Name

LEM MICHAEL SMITH MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

09/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/21/2016