PATRICK D SMITH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****19

License Status

ACTIVE

Business

First Name

PATRICK

Middle

Last Name

SMITH

Suffix

DMD

Business Name

PATRICK D SMITH DMD

Original Issue Date

04/13/2007

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60653

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/03/2024