GREGORY L SMART Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****65

License Status

NOT RENEWED

Business

First Name

GREGORY L

Last Name

SMART

Business Name

GREGORY L SMART

Original Issue Date

10/08/1986

Effective Date

10/08/1986

Expiration Date

09/30/1998

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005