KELLY ANN SMITH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013836

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

SMITH

Business Name

KELLY ANN SMITH

Original Issue Date

12/12/2011

Effective Date

07/10/2015

Expiration Date

09/30/2018

City

BROADLANDS

State

Zip

20148

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/31/2018