EMMALEIGH MADELINE SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128825

License Status

ACTIVE

Business

Title

First Name

EMMALEIGH

Middle

MADELINE

Last Name

SMITH

Business Name

EMMALEIGH MADELINE SMITH MD

Original Issue Date

08/19/2011

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

SOUTH BEND

State

Zip

46637

Ever Disciplined

LastModifiedDate

06/13/2023