BRIAN GARY SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014026

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

GARY

Last Name

SMITH

Business Name

BRIAN GARY SMITH

Original Issue Date

07/17/2012

Effective Date

02/26/2016

Expiration Date

09/30/2018

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

10/31/2018