JOHN DAVID SMITH DPM - Podiatrist License in Illinois | # 016004883

JOHN DAVID SMITH DPM

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004883

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

DAVID

Last Name

SMITH

Suffix

DPM

Business Name

JOHN DAVID SMITH DPM

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

01/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006