TRENT WILSEY SMALLWOOD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028134

License Status

NOT RENEWED

Business

Title

DDS

First Name

TRENT

Middle

WILSEY

Last Name

SMALLWOOD

Business Name

TRENT WILSEY SMALLWOOD DDS

Original Issue Date

09/03/2009

Effective Date

09/03/2009

Expiration Date

09/30/2012

City

TEMPE

State

Zip

85284

County

ARIZONA

Ever Disciplined

LastModifiedDate

11/14/2012