JACK IRWIN SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042422

License Status

NOT RENEWED

Business

First Name

JACK IRWIN

Last Name

SMITH

Suffix

Business Name

JACK IRWIN SMITH MD

Original Issue Date

03/11/1969

Effective Date

03/11/1969

Expiration Date

07/01/1982

City

AUSTIN

State

Zip

78750

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006