ROBERT MERLE WILLARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****16

License Status

NOT RENEWED

Business

First Name

ROBERT MERLE

Last Name

WILLARD

Suffix

DDS

Business Name

ROBERT MERLE WILLARD DDS

Original Issue Date

01/01/1998

Effective Date

06/16/2015

Expiration Date

09/30/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018