BRIAN MICHAEL SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103041

License Status

INACTIVE

Business

First Name

BRIAN

Middle

MICHAEL

Last Name

SMITH

Suffix

Business Name

BRIAN MICHAEL SMITH MD

Original Issue Date

07/12/2000

Effective Date

07/12/2000

Expiration Date

07/31/2002

City

WENTZVILLE

State

Zip

63385

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006