License holder summary

MICHAEL KEVIN SMITH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for MICHAEL KEVIN SMITH is Port Jefferson NY 11777. This medical practitioner license is not current. The license was granted 04/25/2002 and expired on 06/30/2005.

Department of State

Board of Medicine

MICHAEL KEVIN SMITH
Graduate Medical Trainee
License number
MT179349
Date granted
04/25/2002
Date expires
06/30/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
Port Jefferson NY 11777
medicinepa.com
ID 37568393
LAST UPDATED 2024-04-14 02:42:26 UTC

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