JESSICA N SMITH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112622

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

Last Name

SMITH

Business Name

JESSICA N SMITH

Original Issue Date

11/08/2004

Effective Date

05/16/2008

Expiration Date

07/31/2011

City

UNIVERSITY CITY

State

Zip

63130

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2011