STANTON M SMITH D P M Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016003790

License Status

NOT RENEWED

Business

First Name

STANTON M

Last Name

SMITH D P M

Business Name

STANTON M SMITH D P M

Original Issue Date

11/20/1984

Effective Date

11/20/1984

Expiration Date

01/31/1987

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006