CATHY SMITH WATERLOO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

CATHY SMITH

Last Name

WATERLOO

Business Name

CATHY SMITH WATERLOO

Original Issue Date

08/12/1992

Effective Date

05/04/2024

Expiration Date

09/30/2027

City

KENILWORTH

State

Zip

60043

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2024