JENNIFER MICHELLE WALLER SMITH DDS - Dentist License in Illinois | # 019031031

JENNIFER MICHELLE WALLER SMITH DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031031

License Status

ACTIVE

Business

N

Title

DDS

First Name

JENNIFER

Middle

MICHELLE

Last Name

WALLER SMITH

Business Name

JENNIFER MICHELLE WALLER SMITH DDS

Original Issue Date

02/17/2017

Effective Date

09/07/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2024