ANDREW JOHN REGENT-SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084822

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

JOHN

Last Name

REGENT-SMITH

Business Name

ANDREW JOHN REGENT-SMITH MD

Original Issue Date

06/26/2024

Effective Date

06/26/2024

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Hand Surgery(Plastic)

Ever Disciplined

LastModifiedDate

11/03/2025