CHRISTOPHER DEAN SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

DEAN

Last Name

SMITH

Suffix

DDS

Business Name

CHRISTOPHER DEAN SMITH DDS

Original Issue Date

08/22/2000

Effective Date

08/22/2000

Expiration Date

09/30/2002

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005