SANDRA KAY HIGHSMITH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

Title

DMD

First Name

SANDRA

Middle

KAY

Last Name

HIGHSMITH

Business Name

SANDRA KAY HIGHSMITH DMD

Original Issue Date

12/15/2020

Effective Date

12/31/2021

Expiration Date

09/30/2024

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

TEACHING INSTITUTION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025