SANDRA ANN SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025429

License Status

NOT RENEWED

Business

Title

DDS

First Name

SANDRA

Middle

ANN

Last Name

SMITH

Business Name

SANDRA ANN SMITH DDS

Original Issue Date

10/06/2000

Effective Date

07/08/2016

Expiration Date

09/30/2018

City

LOS LUNAS

State

Zip

87031

Ever Disciplined

LastModifiedDate

10/31/2018