SHAWDAE EMOUNE THOMAS SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071491

License Status

CANCELLED

Business

Title

First Name

SHAWDAE

Middle

EMOUNE

Last Name

THOMAS SMITH

Business Name

SHAWDAE EMOUNE THOMAS SMITH MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/01/2017