License Type:
Dentist
License Number:
2901600993
Name:
Christopher Michael Smith
License Issue Date:
06/07/2021
License Expiration Date:
06/07/2027
License Status:
Suspended
County:
Non-Michigan County
Specialty Certification:
Oral and Maxillofacial Surgery
Status:
Lapsed
Issue Date:
08/16/2021
Expiration Date:
City:
Southfield
State or Province:
Michigan
ZIP or Postal Code:
48034
CS Record Number:
5315227282
CS Status:
CS Expiration Date:
State:
ZIP Code:
DC Record Number:
5307010731
DC Status:
DC Expiration Date: