HEATHER LYNNE SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071364

License Status

EXPIRED

Business

Title

First Name

HEATHER

Middle

LYNNE

Last Name

SMITH

Business Name

HEATHER LYNNE SMITH MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

05/06/2019