STEWART GORDON WILLOUGHBY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

First Name

STEWART

Middle

GORDON

Last Name

WILLOUGHBY

Suffix

DDS

Business Name

STEWART GORDON WILLOUGHBY DDS

Original Issue Date

10/02/1981

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/30/2024