ROGER H SMITH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131821

License Status

INACTIVE

Business

Title

First Name

ROGER

Middle

Last Name

SMITH

Business Name

ROGER H SMITH MD

Original Issue Date

12/07/2012

Effective Date

12/07/2012

Expiration Date

07/31/2014

City

BEAVER

State

Zip

84713

County

UTAH

Ever Disciplined

LastModifiedDate

11/12/2014

Case Number

2014007786

Action

Fine

Discipline Start Date

10/17/2014

Discipline Reason

due to a sister state violation in Utah.