COLENE SUE SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011246

License Status

NOT RENEWED

Business

First Name

COLENE

Middle

SUE

Last Name

SMITH

Business Name

COLENE SUE SMITH

Original Issue Date

02/25/2005

Effective Date

10/01/2018

Expiration Date

01/31/2022

City

LA PLATA

State

Zip

20646

County

MARYLAND

Ever Disciplined

LastModifiedDate

05/09/2022