ERIK JON SMITH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000334

License Status

EXPIRED

Business

First Name

ERIK

Middle

JON

Last Name

SMITH

Suffix

Business Name

ERIK JON SMITH DO

Original Issue Date

06/18/1996

Effective Date

06/18/1996

Expiration Date

11/30/1998

City

WILDWOOD

State

Zip

63005

County

MISSOURI

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006