CHELSEA ELIZABETH SMITH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066023

License Status

CANCELLED

Business

Title

First Name

CHELSEA

Middle

ELIZABETH

Last Name

SMITH

Business Name

CHELSEA ELIZABETH SMITH DO

Original Issue Date

07/02/2014

Effective Date

07/02/2014

Expiration Date

07/01/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/21/2014