R THEODORE SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071016

License Status

NOT RENEWED

Business

First Name

R THEODORE

Last Name

SMITH

Suffix

Business Name

R THEODORE SMITH MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1987

City

BRONX

State

Zip

10469

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006