LA RITA SHANTAE SMITH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009349

License Status

ACTIVE

Business

First Name

LA RITA

Middle

SHANTAE

Last Name

SMITH

Business Name

LA RITA SHANTAE SMITH

Original Issue Date

09/14/1998

Effective Date

05/15/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/15/2024