RUSSELL ALAN WILLIAMS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000003

License Status

NOT RENEWED

Business

First Name

RUSSELL ALAN

Last Name

WILLIAMS

Suffix

DMD

Business Name

RUSSELL ALAN WILLIAMS DMD

Original Issue Date

01/01/1998

Effective Date

10/15/2021

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

02/04/2025