SAMUEL D WILLENS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

WILLENS

Business Name

SAMUEL D WILLENS

Original Issue Date

05/20/2010

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024