SANDRA LYNN SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020009828

License Status

NOT RENEWED

Business

First Name

SANDRA

Middle

LYNN

Last Name

SMITH

Business Name

SANDRA LYNN SMITH

Original Issue Date

06/30/2000

Effective Date

09/29/2009

Expiration Date

09/30/2012

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

11/14/2012