DAVID MYERS SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011628

License Status

NOT RENEWED

Business

First Name

DAVID MYERS

Last Name

SMITH

Suffix

DDS

Business Name

DAVID MYERS SMITH DDS

Original Issue Date

12/30/1959

Effective Date

09/19/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/08/2016