FRED R SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013766

License Status

NOT RENEWED

Business

First Name

FRED R

Last Name

SMITH

Suffix

DDS

Business Name

FRED R SMITH DDS

Original Issue Date

12/08/1959

Effective Date

12/08/1959

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005