PETER J SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000423

License Status

NOT RENEWED

Business

First Name

PETER J

Last Name

SMITH

Suffix

DDS

Business Name

PETER J SMITH DDS

Original Issue Date

05/30/1990

Effective Date

05/30/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005