LARYSA K SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****39

License Status

NOT RENEWED

Business

First Name

LARYSA

Middle

Last Name

SMITH

Suffix

DDS

Business Name

LARYSA K SMITH DDS

Original Issue Date

01/31/2005

Effective Date

01/31/2005

Expiration Date

09/30/2006

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/25/2007