LORETTA A SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000618

License Status

ACTIVE

Business

First Name

LORETTA

Middle

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

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

08/28/2024