JEFFERY SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122832

License Status

NOT RENEWED

Business

First Name

JEFFERY

Last Name

SMITH

Suffix

Business Name

JEFFERY SMITH MD

Original Issue Date

03/12/2009

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

CROWN POINT

State

Zip

46307

County

INDIANA

Ever Disciplined

LastModifiedDate

11/17/2014