LORETTA A SMITH DDS - Dentist License in Illinois | # 137000618

LORETTA A SMITH DDS

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000618

License Status

ACTIVE

Business

N

First Name

LORETTA

Middle

A

Last Name

SMITH

Suffix

DDS

Business Name

LORETTA A SMITH DDS

Original Issue Date

06/23/2004

Effective Date

08/28/2024

Expiration Date

09/30/2027

State

IL

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

N

LastModifiedDate

08/28/2024