ERICA MICHELLE SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073590

License Status

EXPIRED

Business

Title

First Name

ERICA

Middle

MICHELLE

Last Name

SMITH

Business Name

ERICA MICHELLE SMITH MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/11/2022