KRISTIN NICHOLE SMITH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125086290

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

NICHOLE

Last Name

SMITH

Business Name

KRISTIN NICHOLE SMITH DO

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

PEORIA

State

Zip

61605

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/05/2025