CHARLES COPLAND SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033649

License Status

NOT RENEWED

Business

First Name

CHARLES COPLAND

Last Name

SMITH

Suffix

Business Name

CHARLES COPLAND SMITH MD

Original Issue Date

09/01/1955

Effective Date

09/01/1955

City

GREEN BAY

State

Zip

54301

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006