JERROLD WAYNE SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****37

License Status

ACTIVE

Business

First Name

JERROLD WAYNE

Last Name

SMITH

Suffix

DDS

Business Name

JERROLD WAYNE SMITH DDS

Original Issue Date

01/01/1998

Effective Date

08/09/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/09/2024