ALICIA ANN SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012788

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

ANN

Last Name

SMITH

Business Name

ALICIA ANN SMITH

Original Issue Date

05/19/2009

Effective Date

08/15/2012

Expiration Date

09/30/2015

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

04/25/2016