LAURA JEAN SMITH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003980

License Status

INACTIVE

Business

First Name

LAURA JEAN

Last Name

SMITH

Business Name

LAURA JEAN SMITH

Original Issue Date

08/17/1979

Effective Date

09/19/2012

Expiration Date

09/30/2015

City

FREEBURG

State

Zip

62243

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

06/08/2015