DOUGLAS WILLIAM HEAD DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002058

License Status

ACTIVE

Business

First Name

DOUGLAS

Middle

WILLIAM

Last Name

HEAD

Suffix

DMD

Business Name

DOUGLAS WILLIAM HEAD DMD

Original Issue Date

09/27/2002

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

09/04/2024