REBECCA L SMUTZER DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

CANCELLED

Business

First Name

REBECCA

Middle

Last Name

SMUTZER

Suffix

DDS

Business Name

REBECCA L SMUTZER DDS

Original Issue Date

04/12/2005

Effective Date

04/12/2005

Expiration Date

09/30/2006

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/24/2006