DAVID HOWARD SMITH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000616

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

HOWARD

Last Name

SMITH

Suffix

DMD

Business Name

DAVID HOWARD SMITH DMD

Original Issue Date

06/16/1992

Effective Date

06/16/1992

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/12/2005