CHARLES A SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023493

License Status

NOT RENEWED

Business

First Name

CHARLES A

Last Name

SMITH

Suffix

DDS

Business Name

CHARLES A SMITH DDS

Original Issue Date

01/14/1994

Effective Date

01/14/1994

Expiration Date

09/30/1996

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005