WARREN JEFFERY SMITH DDS - Dentist License in Wisconsin | # 019014683

WARREN JEFFERY SMITH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014683

License Status

NOT RENEWED

Business

N

First Name

WARREN JEFFERY

Last Name

SMITH

Suffix

DDS

Business Name

WARREN JEFFERY SMITH DDS

Original Issue Date

07/11/1973

Effective Date

06/22/2015

Expiration Date

09/30/2018

State

WI

Ever Disciplined

N

LastModifiedDate

10/31/2018