MARVIN D SMITH JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012182

License Status

NOT RENEWED

Business

First Name

MARVIN D

Last Name

SMITH JR

Suffix

DDS

Business Name

MARVIN D SMITH JR DDS

Original Issue Date

12/05/1962

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006