ERIK JON SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100235

License Status

NOT RENEWED

Business

First Name

ERIK

Middle

JON

Last Name

SMITH

Suffix

Business Name

ERIK JON SMITH DO

Original Issue Date

05/19/1999

Effective Date

05/19/1999

Expiration Date

07/31/2002

City

WILDWOOD

State

Zip

63005

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006