LAURIE ANN SMALL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098044

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

ANN

Last Name

SMALL

Suffix

Business Name

LAURIE ANN SMALL MD

Original Issue Date

06/16/1998

Effective Date

06/16/1998

Expiration Date

07/31/2002

City

PORTLAND

State

Zip

04102

County

MAINE

Ever Disciplined

LastModifiedDate

10/09/2006