WARREN JEFFERY SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014683

License Status

NOT RENEWED

Business

First Name

WARREN JEFFERY

Last Name

SMITH

Suffix

DDS

Business Name

WARREN JEFFERY SMITH DDS

Original Issue Date

07/11/1973

Effective Date

06/22/2015

Expiration Date

09/30/2018

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/31/2018