RAY M SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000596

License Status

NOT RENEWED

Business

First Name

RAY

Middle

Last Name

SMITH

Business Name

RAY M SMITH

Original Issue Date

11/04/1991

Effective Date

11/04/1991

Expiration Date

08/01/1993

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005