STEVEN J SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063824

License Status

CANCELLED

Business

Title

First Name

STEVEN

Middle

Last Name

SMITH

Business Name

STEVEN J SMITH MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

SCHERERVILLE

State

Zip

46375

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014