LARA ENID SMITH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167275

License Status

ACTIVE

Business

Title

First Name

LARA

Middle

ENID

Last Name

SMITH

Business Name

LARA ENID SMITH MD

Original Issue Date

10/05/2023

Effective Date

10/05/2023

Expiration Date

07/31/2026

City

BREMERTON

State

Zip

98312

Ever Disciplined

LastModifiedDate

08/07/2025