DAVID ROSS SMITH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060645

License Status

NOT RENEWED

Business

First Name

DAVID ROSS

Last Name

SMITH

Suffix

Business Name

DAVID ROSS SMITH MD

Original Issue Date

07/14/1980

Effective Date

07/14/1980

Expiration Date

07/31/1993

City

PLYMOUTH

State

Zip

53703

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006