WARREN JEFFERY SMITH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****49

License Status

NOT RENEWED

Business

First Name

WARREN JEFFERY

Last Name

SMITH

Suffix

DDS

Business Name

WARREN JEFFERY SMITH DDS

Original Issue Date

05/20/1996

Effective Date

11/16/2015

Expiration Date

09/30/2018

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018