JORDAN NATHANIEL WILLIAMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

First Name

JORDAN

Middle

NATHANIEL

Last Name

WILLIAMS

Business Name

JORDAN NATHANIEL WILLIAMS

Original Issue Date

07/02/2018

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

DECATUR

State

Zip

62526

County

MASON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025