MARK ALAN SMITH DPM - Podiatrist License in Illinois | # 016004790

MARK ALAN SMITH DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004790

License Status

NOT RENEWED

Business

N

First Name

MARK

Middle

ALAN

Last Name

SMITH

Suffix

DPM

Business Name

MARK ALAN SMITH DPM

Original Issue Date

08/22/1996

Effective Date

11/04/2022

Expiration Date

02/28/2025

State

IL

Ever Disciplined

N

LastModifiedDate

01/21/2026