RUSSELL ALAN WILLIAMS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

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

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025