JENNIFER MICHELLE WALLER SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031031

License Status

ACTIVE

Business

Title

DDS

First Name

JENNIFER

Middle

MICHELLE

Last Name

WALLER SMITH

Business Name

JENNIFER MICHELLE WALLER SMITH DDS

Original Issue Date

02/17/2017

Effective Date

09/07/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2024