CHARLES PAUL SMYRNIOTIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****66

License Status

NOT RENEWED

Business

Title

DDS

First Name

CHARLES

Middle

PAUL

Last Name

SMYRNIOTIS

Business Name

CHARLES PAUL SMYRNIOTIS DDS

Original Issue Date

01/01/1998

Effective Date

06/15/2009

Expiration Date

09/30/2012

City

RIVERSIDE

State

Zip

60546

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/14/2012