LESLIE D WILLIAMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

LESLIE D

Last Name

WILLIAMS

Business Name

LESLIE D WILLIAMS

Original Issue Date

08/12/1982

Effective Date

08/25/2015

Expiration Date

09/30/2018

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018