ROGER STEPHEN SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084077

License Status

ACTIVE

Business

Title

First Name

ROGER

Middle

STEPHEN

Last Name

SMITH

Business Name

ROGER STEPHEN SMITH MD

Original Issue Date

06/21/2024

Effective Date

06/21/2024

Expiration Date

06/20/2027

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/30/2024