JONATHAN NOEL SMILEY DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****56

License Status

NOT RENEWED

Business

First Name

JONATHAN

Middle

NOEL

Last Name

SMILEY

Suffix

DMD

Business Name

JONATHAN NOEL SMILEY DMD

Original Issue Date

07/12/2013

Effective Date

07/12/2013

Expiration Date

09/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016