MICHELLE THERESE SMID Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007665

License Status

INACTIVE

Business

First Name

MICHELLE THERESE

Last Name

SMID

Business Name

MICHELLE THERESE SMID

Original Issue Date

07/06/1992

Effective Date

07/06/1992

Expiration Date

09/30/1996

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005