JAY CHRISTOPHER SMITH DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

CANCELLED

Business

First Name

JAY CHRISTOPHER

Last Name

SMITH

Suffix

DDS

Business Name

JAY CHRISTOPHER SMITH DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/1984

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005