MICHAEL JAMES SMITH DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005077

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

JAMES

Last Name

SMITH

Suffix

DPM

Business Name

MICHAEL JAMES SMITH DPM

Original Issue Date

05/15/2002

Effective Date

12/28/2016

Expiration Date

01/31/2019

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019