ROBERT EDMUND SMITH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012270

License Status

INACTIVE

Business

First Name

ROBERT EDMUND

Last Name

SMITH

Suffix

DDS

Business Name

ROBERT EDMUND SMITH DDS

Original Issue Date

07/25/1963

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

06/04/2009