DONNA M WILLIAMS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****75

License Status

NOT RENEWED

Business

First Name

DONNA

Middle

Last Name

WILLIAMS

Business Name

DONNA M WILLIAMS

Original Issue Date

09/26/1988

Effective Date

09/26/1988

Expiration Date

09/30/2000

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005