Dentist
REGISTERED DENTAL HYGIENIST
020007897
NOT RENEWED
N
MARYROSE
SMITH
MARYROSE SMITH
02/09/1993
06/07/2018
01/31/2022
FORT WORTH
TX
76131
COLORADO
Y
01/21/2025
2011003459
Fine
07/31/2012
due the unlicensed practice of dentistry.