SIDNEY CARLTON SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****26

License Status

NOT RENEWED

Business

First Name

SIDNEY CARLTON

Last Name

SMITH

Business Name

SIDNEY CARLTON SMITH

Original Issue Date

03/02/1994

Effective Date

07/25/2018

Expiration Date

01/31/2022

City

MONMOUTH

State

Zip

61462

County

WARREN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022