ELIZABETH ANNE SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074474

License Status

CANCELLED

Business

Title

First Name

ELIZABETH

Middle

ANNE

Last Name

SMITH

Business Name

ELIZABETH ANNE SMITH MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/05/2022