JETHROE JOSEPH SMITH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016969

License Status

INACTIVE

Business

First Name

JETHROE JOSEPH

Last Name

SMITH

Suffix

DDS

Business Name

JETHROE JOSEPH SMITH DDS

Original Issue Date

09/28/1979

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

06/04/2009