TIMOTHY JAMES SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028589

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

JAMES

Last Name

SMITH

Business Name

TIMOTHY JAMES SMITH

Original Issue Date

05/03/2011

Effective Date

06/19/2018

Expiration Date

01/31/2022

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

05/09/2022