JERROLD WAYNE SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016584

License Status

ACTIVE

Business

First Name

JERROLD WAYNE

Last Name

SMITH

Suffix

DDS

Business Name

JERROLD WAYNE SMITH DDS

Original Issue Date

10/30/1978

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

08/09/2024