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

State

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1995000679

Action

Revocation

Discipline Start Date

09/24/1997

Discipline Reason

Modified order dated 9/24/1997 to reflect the revocation of Dr. Smith's license. The original order mistakenly indicated indefinite suspension.