BEVERLY JEAN SMITH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002899

License Status

INACTIVE

Business

First Name

BEVERLY JEAN

Last Name

SMITH

Business Name

BEVERLY JEAN SMITH

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1998

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/12/2005