MICHAEL KENNETH SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068134

License Status

NOT RENEWED

Business

First Name

MICHAEL KENNETH

Last Name

SMITH

Suffix

Business Name

MICHAEL KENNETH SMITH DO

Original Issue Date

12/30/1983

Effective Date

12/30/1983

Expiration Date

07/31/1984

City

MT CLEMENS

State

Zip

48043

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006