ROBERT STEPHENSON SMITH DDS - Dentist License in Illinois | # 019011921

ROBERT STEPHENSON SMITH DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011921

License Status

INACTIVE

Business

N

First Name

ROBERT

Middle

STEPHENSON

Last Name

SMITH

Suffix

DDS

Business Name

ROBERT STEPHENSON SMITH DDS

Original Issue Date

07/31/1961

Effective Date

09/02/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012