ROBERT MERLE WILLARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000923

License Status

NOT RENEWED

Business

First Name

ROBERT MERLE

Last Name

WILLARD

Suffix

DDS

Business Name

ROBERT MERLE WILLARD DDS

Original Issue Date

12/09/1976

Effective Date

06/25/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

05/09/2022