DARRELL L SMITH DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****12

License Status

CANCELLED

Business

First Name

DARRELL L

Last Name

SMITH

Suffix

DDS

Business Name

DARRELL L SMITH DDS

Original Issue Date

05/11/1998

Effective Date

05/11/1998

Expiration Date

09/30/2002

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005