CATHY SMITH WATERLOO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000523

License Status

NOT RENEWED

Business

First Name

CATHY SMITH

Last Name

WATERLOO

Business Name

CATHY SMITH WATERLOO

Original Issue Date

05/22/1991

Effective Date

05/22/1991

Expiration Date

06/30/1992

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005