ANNA RUTH SMITH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

ACTIVE

Business

First Name

ANNA

Middle

RUTH

Last Name

SMITH

Business Name

ANNA RUTH SMITH

Original Issue Date

08/09/2004

Effective Date

08/28/2024

Expiration Date

09/30/2027

City

GODFREY

State

Zip

62035

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/28/2024