License holder summary

Clyde William Smith is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Clyde William Smith is 4104 Bouton Drive, Lakewood, CA 90712. This doctor license is not current. The license was granted 02/14/1969 and expired on 06/30/1993.

Department of Safety and Professional Services

Board of Medical Practice

Clyde William Smith
Medical - Physician And Surgeon
License number
18569
Date granted
02/14/1969
Date expires
06/30/1993
Class
Medical - Physician And Surgeon
Status
Canceled
Address
4104 Bouton Drive, Lakewood, CA 90712
doctorsminnesota.org
ID 22308056
LAST UPDATED 2024-03-23 08:23:43 UTC

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