DAVID HOWARD SMITH DMD - Dentist License in Illinois | # 137000366

DAVID HOWARD SMITH DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000366

License Status

NOT RENEWED

Business

N

First Name

DAVID

Middle

HOWARD

Last Name

SMITH

Suffix

DMD

Business Name

DAVID HOWARD SMITH DMD

Original Issue Date

11/16/1994

Effective Date

11/16/1994

Expiration Date

09/30/1998

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

10/13/2005