Alexandra Bacon Smith Dmd
InactiveIllinois license 019029389
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019029389
- Status
- Inactive
- First issued
- May 29, 2013
- Expired
- September 30, 2015
- License holder
- Alexandra Bacon Smith
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 05/29/2013
Other Illinois licenses under this name
-
IL
Alexandra Bacon Smith DmdLicense 31*****10 · Alexandra Bacon SmithLicensed Dentist Controlled Substance (Dental)ExpiredCharleston, ILExpired Sep 30, 2015
Contact
Champaign, IL 61820
Champaign County