DOUGLAS P SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****02

License Status

NOT RENEWED

Business

First Name

DOUGLAS

Middle

Last Name

SMITH

Suffix

DDS

Business Name

DOUGLAS P SMITH DDS

Original Issue Date

01/07/1992

Effective Date

12/04/2015

Expiration Date

09/30/2018

City

BRANSON

State

Zip

65616

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018