ROSALYN I SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

First Name

ROSALYN I

Last Name

SMITH

Suffix

DDS

Business Name

ROSALYN I SMITH DDS

Original Issue Date

02/16/1990

Effective Date

09/16/2009

Expiration Date

09/30/2012

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012