PATRICK DAVID SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077118

License Status

CANCELLED

Business

Title

First Name

PATRICK

Middle

DAVID

Last Name

SMITH

Business Name

PATRICK DAVID SMITH MD

Original Issue Date

06/17/2020

Effective Date

06/17/2020

Expiration Date

06/16/2023

City

CHICAGO

State

Zip

60642

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/17/2020