MELANIE ELIZABETH SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013824

License Status

NOT RENEWED

Business

First Name

MELANIE

Middle

ELIZABETH

Last Name

SMITH

Business Name

MELANIE ELIZABETH SMITH

Original Issue Date

11/15/2011

Effective Date

11/15/2011

Expiration Date

09/30/2012

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

11/14/2012