ORVILLE DONOVAN WILLIAMS DDS 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

ORVILLE DONOVAN

Last Name

WILLIAMS

Suffix

DDS

Business Name

ORVILLE DONOVAN WILLIAMS DDS

Original Issue Date

05/06/1994

Effective Date

05/06/1994

Expiration Date

09/30/1998

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005