LAURIE J DIMICHELE-SMORRA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

LAURIE J

Last Name

DIMICHELE-SMORRA

Suffix

DMD

Business Name

LAURIE J DIMICHELE-SMORRA DMD

Original Issue Date

12/01/1992

Effective Date

12/01/1992

Expiration Date

09/30/1994

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005