WILLIAM M BLACK DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033082

License Status

ACTIVE

Business

Title

DMD

First Name

WILLIAM

Middle

Last Name

BLACK

Business Name

WILLIAM M BLACK DMD

Original Issue Date

05/24/2021

Effective Date

07/22/2024

Expiration Date

09/30/2027

City

WILMETTE

State

Zip

60091

Ever Disciplined

LastModifiedDate

07/22/2024