GWENDOLYN MARIE SMITH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015514

License Status

ACTIVE

Business

First Name

GWENDOLYN

Middle

MARIE

Last Name

SMITH

Business Name

GWENDOLYN MARIE SMITH

Original Issue Date

07/06/2016

Effective Date

08/02/2024

Expiration Date

09/30/2027

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/02/2024