WILLIAM ROBERT SMITH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011168

License Status

INACTIVE

Business

First Name

WILLIAM

Middle

ROBERT

Last Name

SMITH

Suffix

DDS

Business Name

WILLIAM ROBERT SMITH DDS

Original Issue Date

09/04/1957

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

TUSCOLA

State

Zip

61953

County

DOUGLAS

Ever Disciplined

LastModifiedDate

07/24/2006