PETER T SMYTH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048354

License Status

INACTIVE

Business

First Name

PETER T

Last Name

SMYTH

Suffix

Business Name

PETER T SMYTH MD

Original Issue Date

09/19/1973

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

GLENCOE

State

Zip

55336

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/07/2011