WILLIAM KARL VANDERWAAL DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

First Name

WILLIAM KARL

Last Name

VANDERWAAL

Suffix

DDS

Business Name

WILLIAM KARL VANDERWAAL DDS

Original Issue Date

01/01/1998

Effective Date

10/06/2021

Expiration Date

09/30/2024

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

02/04/2025