NATHAN DAVID WILLIAMSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****36

License Status

NOT RENEWED

Business

Title

DMD

First Name

NATHAN

Middle

DAVID

Last Name

WILLIAMSON

Business Name

NATHAN DAVID WILLIAMSON DMD

Original Issue Date

09/08/2008

Effective Date

09/08/2008

Expiration Date

09/30/2009

City

HOMER GLEN

State

Zip

60491

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009