ALEXANDER JOHN SMITH DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

Title

DMD

First Name

ALEXANDER

Middle

JOHN

Last Name

SMITH

Business Name

ALEXANDER JOHN SMITH DMD

Original Issue Date

07/27/2019

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

SAINT CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024