GEORGE PEARSON SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

NOT RENEWED

Business

First Name

GEORGE PEARSON

Last Name

SMITH

Suffix

DDS

Business Name

GEORGE PEARSON SMITH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005