RICHALLE VICTORIA SMITH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000823

License Status

EXPIRED

Business

Title

First Name

RICHALLE

Middle

VICTORIA

Last Name

SMITH

Business Name

RICHALLE VICTORIA SMITH MD

Original Issue Date

04/01/2019

Effective Date

04/01/2019

Expiration Date

09/30/2019

City

GRANITE CITY

State

Zip

62040

County

MADISON

Specialty/Qualifier

Family Planning

Ever Disciplined

LastModifiedDate

01/13/2020