THOMAS WADDELL SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065924

License Status

CANCELLED

Business

Title

First Name

THOMAS

Middle

WADDELL

Last Name

SMITH

Business Name

THOMAS WADDELL SMITH MD

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

05/03/2017