AUDRA MARIE SMITH DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000669

License Status

EXPIRED

Business

Title

DPM

First Name

AUDRA

Middle

MARIE

Last Name

SMITH

Business Name

AUDRA MARIE SMITH DPM

Original Issue Date

08/05/2008

Effective Date

07/01/2008

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2009