MATTHEW REID SMITH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066988

License Status

EXPIRED

Business

Title

First Name

MATTHEW

Middle

REID

Last Name

SMITH

Business Name

MATTHEW REID SMITH DO

Original Issue Date

06/26/2018

Effective Date

06/26/2018

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

11/19/2020