CHARLES D WILLIAMS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000811

License Status

ACTIVE

Business

First Name

CHARLES

Middle

Last Name

WILLIAMS

Suffix

DMD

Business Name

CHARLES D WILLIAMS DMD

Original Issue Date

05/12/2011

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Specialty/Qualifier

CONSCIOUS SEDATION, PARENTERAL

Ever Disciplined

LastModifiedDate

09/04/2024