MARCELA SMID MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056220

License Status

CANCELLED

Business

Title

First Name

MARCELA

Last Name

SMID

Business Name

MARCELA SMID MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2013

City

SALT LAKE CITY

State

Zip

84132

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

05/02/2012