WILLIAM W WELLER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

ACTIVE

Business

First Name

WILLIAM W

Last Name

WELLER

Business Name

WILLIAM W WELLER

Original Issue Date

01/30/1996

Effective Date

06/19/2024

Expiration Date

09/30/2027

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/19/2024