WILLIAM MICHAEL WHITE Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****79

License Status

ACTIVE

Business

First Name

WILLIAM MICHAEL

Last Name

WHITE

Business Name

WILLIAM MICHAEL WHITE

Original Issue Date

03/08/1983

Effective Date

05/03/2024

Expiration Date

09/30/2027

City

LASALLE

State

Zip

61301

County

LA SALLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/03/2024