JAMIE LYNN SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

ACTIVE

Business

First Name

JAMIE

Middle

LYNN

Last Name

SMITH

Suffix

DDS

Business Name

JAMIE LYNN SMITH DDS

Original Issue Date

05/16/2007

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Specialty/Qualifier

TEACHING INSTITUTION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024