JORDAN NATHANIEL WILLIAMS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000849

License Status

ACTIVE

Business

First Name

JORDAN

Middle

NATHANIEL

Last Name

WILLIAMS

Business Name

JORDAN NATHANIEL WILLIAMS

Original Issue Date

08/17/2012

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

05/02/2024