JAMES W SMALLEY DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000594

License Status

INACTIVE

Business

Title

DDS

First Name

JAMES

Middle

Last Name

SMALLEY

Business Name

JAMES W SMALLEY DDS

Original Issue Date

12/19/1968

Effective Date

12/19/1968

Expiration Date

09/30/2004

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018