BARRY TODD SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142205

License Status

NOT RENEWED

Business

First Name

BARRY

Middle

TODD

Last Name

SMITH

Suffix

Business Name

BARRY TODD SMITH MD

Original Issue Date

01/11/2017

Effective Date

01/11/2017

Expiration Date

07/31/2017

City

GREAT NECK

State

Zip

11021

County

NEW YORK

Ever Disciplined

LastModifiedDate

11/01/2017