BRIAN MICHAEL SMITH MD - Medical Doctor License in Missouri | # 036103041

BRIAN MICHAEL SMITH MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103041

License Status

INACTIVE

Business

N

First Name

BRIAN

Middle

MICHAEL

Last Name

SMITH

Suffix

MD

Business Name

BRIAN MICHAEL SMITH MD

Original Issue Date

07/12/2000

Effective Date

07/12/2000

Expiration Date

07/31/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006