RICKEY E SMITH 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

RICKEY E

Last Name

SMITH

Business Name

RICKEY E SMITH

Original Issue Date

10/24/1988

Effective Date

10/24/1988

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005