DOUGLAS P SMITH DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

CANCELLED

Business

First Name

DOUGLAS

Middle

Last Name

SMITH

Suffix

DDS

Business Name

DOUGLAS P SMITH DDS

Original Issue Date

10/24/1991

Effective Date

10/24/1991

Expiration Date

09/30/2004

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005