LARRY N WILLIAMS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****86

License Status

INACTIVE

Business

First Name

LARRY

Middle

Last Name

WILLIAMS

Suffix

DDS

Business Name

LARRY N WILLIAMS DDS

Original Issue Date

10/14/2003

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

SKOKIE

State

Zip

60077

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/25/2021