PATRICK J SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

PATRICK J

Last Name

SMITH

Business Name

PATRICK J SMITH

Original Issue Date

09/17/1996

Effective Date

09/17/1996

Expiration Date

09/30/1998

City

JOLIET

State

Zip

60435

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005