MARY SUE SMITH - Dentist License in Illinois | # 020003788

MARY SUE SMITH

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003788

License Status

INACTIVE

Business

N

First Name

MARY SUE

Last Name

SMITH

Business Name

MARY SUE SMITH

Original Issue Date

06/21/1979

Effective Date

10/14/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012