JOHN BUCHANAN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077462

License Status

ACTIVE

Business

Title

First Name

JOHN

Middle

BUCHANAN

Last Name

SMITH

Business Name

JOHN BUCHANAN SMITH MD

Original Issue Date

07/03/2024

Effective Date

07/03/2024

Expiration Date

07/02/2027

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

07/03/2024