WAYNE KENNETH SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

WAYNE KENNETH

Last Name

SMITH

Business Name

WAYNE KENNETH SMITH

Original Issue Date

07/28/1982

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

PLANO

State

Zip

60545

County

KENDALL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009