CRISTINE MARIE SMITH Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027186

License Status

INACTIVE

Business

First Name

CRISTINE

Middle

MARIE

Last Name

SMITH

Business Name

CRISTINE MARIE SMITH

Original Issue Date

08/10/2006

Effective Date

08/10/2006

Expiration Date

09/30/2009

City

FOND DU LAC

State

Zip

54935

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/04/2009