| Physician Last Name: | Smith |
| Physician First Name: | Terrance |
| Physician Middle Name: | E |
| Address: | RR#4 Box 2649
Belfast, Maine 04915 |
| License Number: | 166015 |
| License Type: | MD |
| Year of Birth: |
1949
|
| Effective Date: | 09/09/1998 |
| Action Description for DOH Webpage: | License surrender |
| Misconduct Description for DOH Webpage: | The physician did not contest the charge of having been disciplined by the State Medical Board of Ohio for misrepresenting on his application for certificate renewal that he completed the required Continuing Medical Education credits. |
| License Limitations or Conditions for DOH Webpage: | |
| Board Order: |
|