CATHY SMITH WATERLOO - Dentist License in Illinois | # 018000523

CATHY SMITH WATERLOO

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000523

License Status

NOT RENEWED

Business

N

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

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005