JASON O SMITH DMD - Dentist License in Illinois | # 019025062

JASON O SMITH DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025062

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

O

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005