RICHARD DWAYNE SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015066

License Status

NOT RENEWED

Business

First Name

RICHARD DWAYNE

Last Name

SMITH

Suffix

DDS

Business Name

RICHARD DWAYNE SMITH DDS

Original Issue Date

01/14/1975

Effective Date

01/14/1975

Expiration Date

09/30/1994

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1994004236

Action

Suspension

Discipline Start Date

09/22/1995

Discipline Reason

Failing to pay registration inspection fees assessed by the Illinois Department of Nuclear Safety.