ANNA GUTINA SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069023

License Status

CANCELLED

Business

Title

First Name

ANNA

Middle

GUTINA

Last Name

SMITH

Business Name

ANNA GUTINA SMITH MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2019

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/03/2016