PAUL MICHAEL SMITH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066775

License Status

CANCELLED

Business

Title

First Name

PAUL

Middle

MICHAEL

Last Name

SMITH

Business Name

PAUL MICHAEL SMITH DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60607

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/26/2016