DIANA CLIMACO SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056132

License Status

CANCELLED

Business

First Name

DIANA

Middle

CLIMACO

Last Name

SMITH

Suffix

Business Name

DIANA CLIMACO SMITH MD

Original Issue Date

06/15/2009

Effective Date

06/15/2009

Expiration Date

06/14/2012

City

SAINT PAUL

State

Zip

55125

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/22/2009