LOGAN WILLIAM SMITH DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****53

License Status

ACTIVE

Business

Title

DDS

First Name

LOGAN

Middle

WILLIAM

Last Name

SMITH

Business Name

LOGAN WILLIAM SMITH DDS

Original Issue Date

08/23/2024

Effective Date

08/23/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/23/2024