GERALD RAY SMITH JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****88

License Status

NOT RENEWED

Business

First Name

GERALD RAY

Last Name

SMITH JR

Suffix

DDS

Business Name

GERALD RAY SMITH JR DDS

Original Issue Date

09/16/1981

Effective Date

09/16/1981

Expiration Date

09/30/1994

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005