DAVID HOWARD SMITH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

HOWARD

Last Name

SMITH

Suffix

DMD

Business Name

DAVID HOWARD SMITH DMD

Original Issue Date

03/26/2007

Effective Date

06/14/2011

Expiration Date

09/30/2012

City

BOLINGBROOK

State

Zip

60440

County

WILL

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012