SMITHA B RAI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028315

License Status

ACTIVE

Business

First Name

SMITHA

Middle

Last Name

RAI

Suffix

DDS

Business Name

SMITHA B RAI DDS

Original Issue Date

06/04/2010

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/04/2024