SANDRA JEAN SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006702

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

JEAN

Last Name

SMITH

Business Name

SANDRA JEAN SMITH

Original Issue Date

07/27/1988

Effective Date

09/24/2018

Expiration Date

01/31/2022

City

BRAIDWOOD

State

Zip

60408

County

WILL

Ever Disciplined

LastModifiedDate

05/09/2022