Derek W Smith
ExpiredIllinois license 125042600
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 125042600
- Status
- Expired
- First issued
- June 22, 2001
- Expired
- June 21, 2004
- License holder
- Derek W Smith
- Entity type
- Individual
Classifications
- Temporary Medical Permit Physicians & Surgeons
More from the license record
- Specialty
- Internal Medicine
- Current term began
- 06/22/2001
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Contact
Maywood, IL 60153
Cook County