AMY LEA SMITH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120766

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LEA

Last Name

SMITH

Suffix

Business Name

AMY LEA SMITH DO

Original Issue Date

04/30/2008

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

CARLSBAD

State

Zip

88220

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/17/2014