JOANNA RACHEL SMITH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010124

License Status

INACTIVE

Business

First Name

JOANNA

Middle

RACHEL

Last Name

SMITH

Business Name

JOANNA RACHEL SMITH

Original Issue Date

08/22/2001

Effective Date

09/07/2018

Expiration Date

12/31/2021

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/21/2021