SAMUEL M SMITH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021356

License Status

NOT RENEWED

Business

First Name

SAMUEL M

Last Name

SMITH

Suffix

DMD

Business Name

SAMUEL M SMITH DMD

Original Issue Date

10/02/1988

Effective Date

08/20/2015

Expiration Date

09/30/2018

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/31/2018