BRIAN GARY SMITH - Dentist License in Illinois | # 019031658

BRIAN GARY SMITH

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031658

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

GARY

Last Name

SMITH

Business Name

BRIAN GARY SMITH

Original Issue Date

06/05/2018

Effective Date

06/05/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022