GEORGE NORMAN SMITH DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

CANCELLED

Business

First Name

GEORGE NORMAN

Last Name

SMITH

Suffix

DDS

Business Name

GEORGE NORMAN SMITH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

LINCOLN

State

Zip

62656

County

LOGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005