DARRELL S SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****27

License Status

NOT RENEWED

Business

First Name

DARRELL S

Last Name

SMITH

Suffix

DDS

Business Name

DARRELL S SMITH DDS

Original Issue Date

11/16/1993

Effective Date

11/16/1993

Expiration Date

09/30/2000

City

SAUK VILLAGE

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

10/17/2005