BRIAN GARY SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031658

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2022