JOHN T SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106863

License Status

INACTIVE

Business

First Name

JOHN

Middle

Last Name

SMITH

Suffix

Business Name

JOHN T SMITH MD

Original Issue Date

05/01/2002

Effective Date

05/01/2002

Expiration Date

07/31/2005

City

MATTHEWS

State

Zip

28105

Ever Disciplined

LastModifiedDate

10/09/2006