JILL MARIE WEBER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****06

License Status

NOT RENEWED

Business

Title

DDS

First Name

JILL

Middle

MARIE

Last Name

WEBER

Business Name

JILL MARIE WEBER DDS

Original Issue Date

02/08/2010

Effective Date

02/08/2010

Expiration Date

09/30/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

11/14/2012