OLIVER DAVID SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013682

License Status

NOT RENEWED

Business

First Name

OLIVER DAVID

Last Name

SMITH

Suffix

DDS

Business Name

OLIVER DAVID SMITH DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/2000

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005