LORETTA A SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

ACTIVE

Business

First Name

LORETTA

Middle

Last Name

SMITH

Suffix

DDS

Business Name

LORETTA A SMITH DDS

Original Issue Date

12/07/1987

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

08/28/2024