CHARLES A SMITH Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002095

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

SMITH

Business Name

CHARLES A SMITH

Original Issue Date

12/17/1951

Effective Date

12/17/1951

Expiration Date

01/31/2003

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/09/2006