KENNETH GERALD SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098228

License Status

INACTIVE

Business

First Name

KENNETH

Middle

GERALD

Last Name

SMITH

Suffix

Business Name

KENNETH GERALD SMITH MD

Original Issue Date

07/08/1998

Effective Date

07/08/1998

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006