RAY M SMITH - Dentist License in Illinois | # 018000596

RAY M SMITH

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000596

License Status

NOT RENEWED

Business

N

First Name

RAY

Middle

M

Last Name

SMITH

Business Name

RAY M SMITH

Original Issue Date

11/04/1991

Effective Date

11/04/1991

Expiration Date

08/01/1993

State

IL

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

N

LastModifiedDate

10/12/2005