JETHROE JOSEPH SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

JETHROE JOSEPH

Last Name

SMITH

Suffix

DDS

Business Name

JETHROE JOSEPH SMITH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005