JOSEPH ANDREW SMITH JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****57

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOSEPH

Middle

ANDREW

Last Name

SMITH

Suffix

Business Name

JOSEPH ANDREW SMITH JR DDS

Original Issue Date

01/01/1998

Effective Date

09/10/2018

Expiration Date

01/31/2022

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022