WILLIAM CHARLES LAVERY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****83

License Status

NOT RENEWED

Business

Title

DDS

First Name

WILLIAM

Middle

CHARLES

Last Name

LAVERY

Business Name

WILLIAM CHARLES LAVERY DDS

Original Issue Date

01/01/1998

Effective Date

08/01/2012

Expiration Date

09/30/2015

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

02/08/2016