DIANE LYNN SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

LYNN

Last Name

SMITH

Suffix

DDS

Business Name

DIANE LYNN SMITH DDS

Original Issue Date

12/15/1998

Effective Date

01/11/2007

Expiration Date

09/30/2009

City

SHOREWOOD

State

Zip

60404

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009