TIMOTHY DWIGHT SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116342

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

DWIGHT

Last Name

SMITH

Suffix

Business Name

TIMOTHY DWIGHT SMITH MD

Original Issue Date

06/29/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WINSTON SALEM

State

Zip

27106

Ever Disciplined

LastModifiedDate

02/07/2013