ALEXANDER SAMUEL WILLIAMS IV DDS Dentist License verification

Business Entity

INOPERATIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

INOPERATIVE

Business

First Name

ALEXANDER SAMUEL

Last Name

WILLIAMS IV

Suffix

DDS

Business Name

ALEXANDER SAMUEL WILLIAMS IV DDS

Original Issue Date

01/01/1998

Effective Date

09/10/2018

Expiration Date

12/31/2021

City

LYNWOOD

State

Zip

60411

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/11/2021