JASON O SMITH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025062

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

SMITH

Suffix

DMD

Business Name

JASON O SMITH DMD

Original Issue Date

07/28/1999

Effective Date

07/28/1999

Expiration Date

09/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005