LE ROY ANDREW SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040544

License Status

NOT RENEWED

Business

First Name

LE ROY ANDREW

Last Name

SMITH

Suffix

Business Name

LE ROY ANDREW SMITH MD

Original Issue Date

07/25/1966

Effective Date

07/25/1966

Expiration Date

07/31/1984

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006