RUSSELL ALAN WILLIAMS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

NOT RENEWED

Business

First Name

RUSSELL ALAN

Last Name

WILLIAMS

Suffix

DMD

Business Name

RUSSELL ALAN WILLIAMS DMD

Original Issue Date

10/27/2017

Effective Date

07/17/2018

Expiration Date

01/31/2022

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022