RICHARD S SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074958

License Status

NOT RENEWED

Business

First Name

RICHARD S

Last Name

SMITH

Suffix

Business Name

RICHARD S SMITH MD

Original Issue Date

05/15/1987

Effective Date

05/15/1987

Expiration Date

07/31/1996

City

FLEETWOOD

State

Zip

28626

Ever Disciplined

LastModifiedDate

10/07/2020