BRIANA JEAN SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020014277

License Status

NOT RENEWED

Business

First Name

BRIANA

Middle

JEAN

Last Name

SMITH

Business Name

BRIANA JEAN SMITH

Original Issue Date

05/20/2013

Effective Date

05/20/2013

Expiration Date

09/30/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/25/2016