LAUREN PATRICIA SMITS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

LAUREN

Middle

PATRICIA

Last Name

SMITS

Business Name

LAUREN PATRICIA SMITS

Original Issue Date

04/13/2015

Effective Date

04/13/2015

Expiration Date

09/30/2015

City

FISHERS

State

Zip

46037

County

INDIANA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016