LARYSA K SMITH DDS - Dentist License in Illinois | # 019026555

LARYSA K SMITH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026555

License Status

NOT RENEWED

Business

N

First Name

LARYSA

Middle

K

Last Name

SMITH

Suffix

DDS

Business Name

LARYSA K SMITH DDS

Original Issue Date

08/20/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

01/25/2007