PAUL JAY WILLIS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****20

License Status

NOT RENEWED

Business

First Name

PAUL JAY

Last Name

WILLIS

Suffix

DDS

Business Name

PAUL JAY WILLIS DDS

Original Issue Date

09/07/1994

Effective Date

06/15/2015

Expiration Date

09/30/2018

City

SKOKIE

State

Zip

60076

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018