KEVIN DENNIS SMITH DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004863

License Status

INACTIVE

Business

First Name

KEVIN

Middle

DENNIS

Last Name

SMITH

Suffix

DPM

Business Name

KEVIN DENNIS SMITH DPM

Original Issue Date

02/28/1998

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/07/2022