KEVIN SMOTHERS MD
Physician/surgeon


Address: 9050 Iron Horse Lane #319, Baltimore, MD 21208

KEVIN SMOTHERS MD (Credential# 547466) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is May 27, 1999. The license expiration date date is June 30, 2000. The license status is INACTIVE.

Business Overview

KEVIN SMOTHERS MD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.028922. The credential type is physician/surgeon. The effective date is May 27, 1999. The expiration date is June 30, 2000. The business address is 9050 Iron Horse Lane #319, Baltimore, MD 21208. The current status is inactive.

Basic Information

Licensee Name KEVIN SMOTHERS MD
Credential ID 547466
Credential Number 1.028922
Credential Type Physician/Surgeon
Business Address 9050 Iron Horse Lane #319
Baltimore
MD 21208
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1988-03-25
Effective Date 1999-05-27
Expiration Date 2000-06-30
Refresh Date 2009-07-11

Other licenses

ID Credential Code Credential Type Issue Term Status
158054 CSP.0017886 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1999-03-01 - 2000-02-28 INACTIVE

Office Location

Street Address 9050 IRON HORSE LANE #319
City BALTIMORE
State MD
Zip Code 21208

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City BALTIMORE
Zip Code 21208
License Type Physician/Surgeon
License Type + County Physician/Surgeon + BALTIMORE

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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