DAVID HOWARD SMITH DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

HOWARD

Last Name

SMITH

Suffix

DMD

Business Name

DAVID HOWARD SMITH DMD

Original Issue Date

01/28/1999

Effective Date

01/28/1999

Expiration Date

09/30/2002

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005