JORDAN NATHANIEL WILLIAMS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

ACTIVE

Business

First Name

JORDAN

Middle

NATHANIEL

Last Name

WILLIAMS

Business Name

JORDAN NATHANIEL WILLIAMS

Original Issue Date

08/06/2008

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024