WILLIAM ROBERT SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****45

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

ROBERT

Last Name

SMITH

Suffix

DDS

Business Name

WILLIAM ROBERT SMITH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1994

City

TUSCOLA

State

Zip

61953

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005